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					                                                   EMPLOYMENT RECORD FORM
   SECTION 1: To Be Completed by Employee

   NAME: _____________________________________SS#________________________
                         (Last)          (First)          (MI)
   EMERGENCY CONTACT: _______________________________________________
                                            (Name)
   ________________________________________________________________________
                    (Relationship)                     (Home Phone)                               (Office Phone)

   VETERAN Yes: ____No:_____ VIETNAM OR OTHER: _____________________
   SPECIAL/DISABLED VET: _______________________
                                                        Hard           E                          Electronic Link                      N/A
                                                        Copy          Copy
Received Drug Free Guide
Received Contract/ Manual                                                      www2.oakland.edu/erd/docs.cfm
Received Welcome Packet
Received Diversity Brochure
Oakland University Administrative
Policies & Procedures:
  (1) Policy 710 Administrative Guidelines
      Prohibiting Discrimination                                               www2.oakland.edu/audit/POLCY710.htm
  (2) Policy 711 Guidelines for
      Handling Discrimination
      Complaints                                                               www2.oakland.edu/audit/POLCY711.doc
  (3) Section 800 All Policies in the                                          www.oakland.edu > administration > other
      800 series pertaining to                                                 resources > adm. policies & procedures >
      Information Technology                                                   information technology > section 800
   All Administrative Policies and Procedures can be accessed from the Oakland University home page>Administration>Other Resources –
   Administrative Policies and Procedures.

   I, as an employee of Oakland University, agree to read, understand and comply with the materials and policies listed above.

                        (Signature)                                                                (Date)

                                           Sexual Harassment Prevention Training
                                      http://training.newmedialearning.com/psh/oakland/
            I agree to take and pass the online Sexual Harassment prevention training course within 10 days
            of my date of hire. I understand that the results will be automatically forwarded to the office of
            UDC.
            I have already taken and passed the online Sexual Harassment prevention training course.
   Failure to take and pass this training may result in termination.

                        (Signature)                                                              (Date)

   SECTION 2: To Be Completed by Employment Services Office
   TITLE:                                              GROUP/GRADE:                             DEPT:
   FULL-TIME:                     TEMPORARY:                                     PART-TIME:                 CASUAL:
            Employment Application                                               Requisition
            Resume                                                               Posting (Copy)
            Oath Card                                                            Physical
            Criminal Records Form                                                Union Form
            W-4 Cards                                                            Transcript Received
             Federal                                                            Work Permit
             State                                                              Michigan Drivers License (Copy)
            I-9 Form                                                             Social Security Card (Copy)
             List A – Identify Doc. &                                           Automatic Deposit Form
                 Employment Eligibility (Copy)                                   Driving Record Affidavit
             List B – Identity Documentation (Copy)                             Offer letter
             List C – Employment Eligibility (Copy)                             PDP monthly letter & PDP schedule


       (Initials)                             (Date)                                              Hire Date

				
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