人力资源

人力资源 Forms

Click on the desired title to access the form. The PDF format forms can be viewed and printed using the free Adobe Acrobat Reader. If you do have the reader, you may download from the link below.

就业 Action Form/One Time Payment – Revised 06/10/2014
就业 Action Form Instructions

Electronic Personnel Action Form (EPAF) User Manual (Rev. 2023年1月)

Position Request Form

Job Analysis Questionnaire

Job Analysis Questionnaire

就业

– Adjunct 就业 Packet 
– Temporary 就业 Packet
– Employee 信息 Form
– Reference Check Release From
– Reference Checking Form
– State of Mississippi New Hire Reporting Form
– Federal Tax Form
– 州税表
– I-9 就业 Verification Eligibility

PeopleAdmin

PeopleAdmin User Guide

计时 & 离开

– Monthly Time Record/Sheet
– Staff 离开 Request Form
– Compensatory Time Report
– Application for 离开 of Absence Without Pay
– 教师 Absence Request
– Personal/Major Medical 离开 Form
– Family Medical 离开/Medical 离开 of Absence
– FMLA Medical Certification Form for Employees 
– FMLA Medical Certification Form for Family Members
– Regular Major Medical Certification Form
– Excuse/Release to Work

Student 就业

– New Work Study Student (WSR) 就业 Packet – Revised August 2023
– New Regular Student Employee (RSE) 就业 Packet – Revised August 2023
– 研究生 Assistant (GA) 就业 Packet & 信息
– Student 就业 Code of Responsibility and Confidentiality Agreement – New August 2021

– Student 就业 Handbook
– Student EPAF User Manual

奖学金

– Application for Employee Tuition Remission Form
– Application for Dependent Child Tuition Remission Form
– Application for Spouse Scholarship Form
– Tuition Remission Drop Course Form
– Community College 教师/Staff Scholarship Form
– Mississippi Delta Community College Dependent Student Scholarship Form
– Textbook Scholarship Program Application

人力资源

– Americans with Disabilities Act Form
– Employee 信息 Form
– Change of Address Form
– Outside 就业 Form
– Direct Deposit Form
– 教师 Pay Distribution Agreement
– Veteran Status Form
– Selective Service Form
– Staff Evaluation Form
– Hourly Performance Evaluation Form
– Performance Improvement Plan Form

好处

Southern Administrators and Benefit Consultants (Cafeteria Plan)
– Request for Reimbursement
– Dependent Care Receipt Form
– Change of Status Form
Delta Dental Insurance
– 注册表单
Beam Vision Insurance
– 注册表单
State of Mississippi 健康 Insurance Forms
– State 健康 Insurance Application Form
– State 健康 Medical Claim Form
State of Mississippi 人寿保险 Forms
– State of MS 人寿保险 Enrollment and Change Request Form
Public Employees’ Retirement System Forms
– PERS Enrollment, Membership Application, Form 1
– PERS Beneficiary Designation, Form 1B
– PERS Change of 信息, form 1C
– PERS Reemployment of PERS Service Retiree, Form 4B
– Non-Covered 就业 Acknowledgement, Form 4A
– Membership Refund Application, Form 5
– Pre-Application for Service Retirement 好处, Form 9A SRVC

Drug and Alcohol Testing

– Reasonable Suspicion Form
– 处方 & Non-处方 Drug Voluntary Disclosure Form

Delta State University is committed to a policy of equal employment and educational opportunity. Delta State University does not discriminate on the basis of race, color, 宗教, 国家的起点, 性, 年龄, 残疾, or veteran status. This policy extends to all programs and activities supported by the University.

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