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NEW HIRE / REHIRE CONFIRMATION FORM
Expected Eective Date: _________________________
Employee ID: _________________________
BROOKLYN MANHATTAN HIALEAH
PLEASE PRINT THE FOLLOWING INFORMATION
Employees
Last Name:
Address:
City:
State: Zip:
E-Mail:
Phone:
Employees
First Name:
Apt.:
Date of
Birth:
Position / Title:
Department:
Salary:
Status:
Reports To:
(Name & ID of Manager)
Location:
$ _______________ HOURLY $ _______________ ANNUALLY
$ _______________________ OTHER RATE
FULLTIME FT FULLTIME EQUIVALENT FTE PARTTIME PT TEMP
FT INSTRUCTOR FTN ADJUNCT
ADJUNCTFTE
Source of Employment:
ADVERTISEMENT NEWSPAPER INTERNET REFERRAL
Time Card Approvals By:
____________________________________________________________
Last Name, First Name
______________________________
Employee ID
____________________________________________________________
Last Name, First Name
______________________________
Employee ID
____________________________________________________________
Last Name, First Name
______________________________
Employee ID
Manager’s Name,
Signature, and Date:
_____________________________________________
Last Name, First Name
________________________________
Signature
______________________
Date
Provost’s Signature:
HR Representative’s
Signature:
President’s Signature:
_______________________________________________
Signature
______________________
Date
_______________________________________________
Signature
______________________
Date
_______________________________________________
(Not required for part-time faculty positions)
______________________
Date
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