Idaho State University
New Hire Packet
Temporary or Student Employees
PLEASE READ AND FOLLOW DIRECTIONS:
I-9: Complete the top portion, Section 1. DO NOT write below the signature line.
Be prepared to show original identification for the lists in Section 2. Lists showing
the documentation that will be accepted are on the third page of the form. If you
don't have the required documents, federal law prohibits us from allowing you to
work.
W-4: Federal Income Tax Deduction. Use your permanent home mailing address
and name as it appears on your social security card. If you are not a United States
citizen, you must contact Human Resources.
Personnel Action Request: Use your legal name and obtain your department’s
signature.
Selective Service: Use your legal name and sign the form.
Affirmative Action Identification: This is voluntary information to assist in data
collection for the Affirmation Action Program.
Tax withholding on student employees: Students are exempt from FICA and
Medicare tax withholding if they are carrying at least a half-time credit load (6
credit hours undergraduate; 5 credit hours graduate).
Upon completion of the above, submit all of the original forms in person to the
Human Resources Office, Administration building, Room 312. These forms must
be completed
no later than the time of hire, which is the actual beginning of employment.
Questions? Hum
an Resources 282-2517
IDAHO STATE UNIVERSITY
Personnel Action Request for Temporary or Student Workers (PARTS)
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New employees must complete Form I-9 on or before the first day of work. Failure to complete FormI-9
on or before the first day of work could subject the department to monetary penalties by the federal government.
EMPLOYEE TYPE: Student Employee Work Study Student Employee (please note Financial Aid will review CWS positions)
Do you want a student position set up after financial aid funds expire? Yes OR No
Temporary Employee (non-student) Temporary Position for a Benefited ISU Employee (Overtime form required if classified)
EMPLOYEE STATUS: New Employee to ISU (Form I-9 must be completed on or before first day of work.)
Existing Employee: Please indicate changes New Position Pay Rate Index Other:
PERSI Eligible Retiree (Enter Last Check Date):
EMPLOYEE INFORMATION: Bengal/Student/Employee #
Employee Name:_ Employee Phone Number:
(print or type legal name as it appears on the employee’s Social Security Card)
Employee Mailing Address:
HIRING INFORMATION: Work Location City:
Work Location State:
Department:
Phone:
Campus Box:
Start Date of this Position:
If you need to add more than 4 positions please attach 2
nd
form
work study titles
Job Title
pre established classification titles
Hourly Rate of Pay *
*Rates exceeding the maximum listed for the pre established classification titles require prior Human Resources approval
Est. Hours Worked (per fiscal year)
Est. Total Earnings (auto calculated)
Index(s) to be charged**
HR/FINAID USE ONLY-Position # & Suffix
**NOTE: If you intend to split one position between two or more indexes, identify the percent allocation after the index within the index box. If you want
multiple positions paid 100% from a single index, you must list each index separately in a new column with the appropriate title, pay rate, estimated hours, and
estimated total earnings
PARTS processing deadline is close of business on the last Friday of the pay period. Any PARTS form and new employee paperwork received
after this deadline may result in the employee not being paid until the following pay period.
APPROVER, TIME ENTRY & TIME SHEET ORGANIZATION INFORMATION
Time Approver: (mandatory approval)
Time Sheet Organization:
Time Entry Method: Employee BengalWeb Time Entry Department Time Entry
APP
ROVAL SIGNATURES:
Department Authorization of Funds: Date:
UBO or Fiscal Officer Date:
I hereby acknowledge this employment arrangement is temporary. Employment in a student/temporary position at Idaho State
University does not guarantee consideration for, or subsequent employment in, regular positions that may become available. As a
temporary employee, I am subject to the same campus
-wid
e policies that apply to all university students, staff and faculty.
Student/Temp/Adjunct employees are subject to work hour limitations as defined by ISU policy# ISUPP 3050
As a temporary employee at Idaho State University, I understand I have the right to terminate my employment at any time and Idaho State University retains the right to terminate my
employment at any time, with or without prior notice or cause, regardless of any other documents or oral or written statements issued by Idaho State University or its representatives.
List all jobs currently held with any ISU departments:
.
Employee Signature: Date:
New employees must submit the completed New Hire Packet with qualifying identification (refer to I9 form to see eligible documents) to Human Resources, Room 312, Administration Building on or before the first
day of work. Existing employees with information changes only must submit this completed Personnel Action Request to Human Resources. Questions? Call Human Resources 282-2517
$0.00
$0.00
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$0.00
Idaho State University
Affirmative Action Identification
Temporary or Student Employees
IDAHO STATE UNIVERSITY ASKS APPLICANTS TO VOLUNTEER THE FOLLOWING INFORMATION FOR OUR
AFFIRMATIVE ACTION PROGRAM; THIS INFORMATION IS HELD IN CONFIDENCE BY THE AFFIRMATIVE ACTION
OFFICE AND IS NOT ROUTINELY SUPPLIED TO ANY OTHER UNIVERSITY DEPARTMENT. YOUR COOPERATION IS
GREATLY APPRECIATED.
PERSONAL DATA
Temporary Employee (non-student) Student Employee
Employee Name (print or type legal name):
Department: Date of Employment:
Male Female Birth date:
Disabled
AN INDIVIDUAL WHO (1) HAS A PHYSICAL OR MENTAL IMPAIRMENT WHICH SUBSTANTIALLY
LIMITS ONE OR MORE OF SUCH PERSON’S MAJOR LIFE ACTIVITIES; (2) HAS A RECORD OF SUCH
IMPAIRMENT OR; (3) IS REGARDED AS HAVING SUCH IMPAIRMENT.
RACE/ETHNIC ORIGIN (Check only one)
American Indian/Alaskan Native
A PERSON HAVING ORIGINS IN ANY OF THE ORIGINAL PEOPLES OF NORTH AMERICAN AND WHO
MAINTAINS CULTURAL IDENTIFICATION THROUGH TRIBAL AFFILIATION OR COMMUNITY
RECOGNITION.
Asian/Pacific Islander
A PERSON HAVING ORIGINS IN ANY OF THE ORIGINAL PEOPLES OF THE FAR EAST, SOUTHEAST
ASIA, THE INDIAN SUB-CONTINENT, OR THE PACIFIC ISLANDS. THIS AREA INCLUDES, FOR
EXAMPLE, CHINA, JAPAN, KOREA, THE PHILIPPINE ISLANDS AND SAMOA.
Black (Not of Hispanic origin)
A PERSON HAVING ORIGINS IN ANY OF THE BLACK RACIAL GROUPS OF AFRICA.
Hispanic
A PERSON OF MEXICAN, PUERTO RICAN, CUBAN, CENTRAL OR SOUTH AMERICAN OR OTHER
SPANISH CULTURE OF ORIGIN, REGARDLESS OF RACE.
White (Not of Hispanic origin)
A PERSON HAVING ORIGINS IN ANY OF THE ORIGINAL PEOPLES OF EUROPE, NORTH AFRICA, OR THE
MIDDLE EAST.
VETERAN STATUS (Check all that apply)
Disabled Veteran
A VETERAN WITH A DISABILITY THAT WAS INCURRED IN THE LINE OF DUTY, OR A DISABILITY
RATED AT 30% BY THE VETERANS ADMINISTRATION.
Vietnam Veteran
CITIZENSHIP STATUS (Check only one)
U.S. Citizen
Permanent U.S. Resident
Other, please explain
RECRUITMENT SOURCE (Check all that apply)
Chronicle of Higher Education Morning News (Blackfoot)
Higheredjobs.com Other, please explain
Idaho State Journal Post Register
Idaho State University Website Salt Lake Tribune
Idaho Statesman Times News (Twin Falls)
Trade publication/Web site
Idaho State University
Selective Service Statement
Temporary or Student Employees
Name: ________________________________________________________________________
Date: _____________________________________
Registration Compliance
Idaho Code 46-504 provides that no person is eligible for employment with the state of
Idaho or a political subdivision of the state, unless that person is in compliance with the
federal selective service act. Failure to truthfully answer these questions may be grounds
for rejection of your application or dismissal from employment.
I certify that I am not required to be registered with the federal military selective service act.
I certify that I am registered with the federal military selective service act.
Employee Signature: _____________________________________Date: _________________