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Orientation/Benefits Packet Request Form for non-academic employees with 75% - 100% appointments
Note: This form must be filled out by all hiring departments (or department's payroll representative) for employees who:
For more information about Orientation procedure, see http://www.d.umn.edu/umdhr/Policies/hiring/09.htm
Please check all that apply: New hire Transferred to 75-100 % appointment Temporary appointment lasting three months or more
*Name of employee *Empl ID (or type 00 if you don't have Empl ID ) *Department name *Campus Address *Employee's Campus Telephone #, if known. If not known, type N/A *Job Requisition Number *Job Code *Percentage of Appointment *Start Date If Temp Appt, fill out End Date *Supervisor's Name *Supervisor's Telephone number *What is Your Name? *What is Your Campus Phone #? *What is Your Complete Email Address?
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