H.R. Services Benefit Enrollment Session Request Form

FULL SEARCH


	MU Home

BENEFITS ENROLLMENT SESSION REQUEST

Benefits-eligible arriving employees need to participate in a benefits enrollment session close to their beginning date of employment. Sessions are designed to provide arriving employees with information about their benefits and to assist them in completing the necessary forms to enroll in benefit components. *These sessions are generally held from 9:30 a.m. until 12:00 p.m. on designated dates, and the location is the Human Resource Services Conference Room in 207 Old Main unless otherwise indicated. New employees will receive confirmation with their Benefits Packages.

Use this form to request a reservation for a benefits enrollment session for your newly hired employee. Simply fill in the fields below and/or make selections where dropdown lists are provided. When you are sure the information you have entered is correct, hit the Submit button.

If you experience any difficulty with this web form, you can accomplish your registration by contacting Human Resource Services either by telephone or by e-mail. Thank you!

Employee name:	Birth Date:

Preferred First Name:

Current telephone number with area code:

Current e-mail address:

Current mailing address: Street	City	State	Zip

Employee will be employed by the following institution:

Department, college, or office:

Position title (faculty, Program Assistant, etc.):	Annual Salary:


9-month faculty:	If 9-month faculty, then:	18 or 24 Pays:


Employment will begin: Month	Day	Year

Campus work location:

I wish to participate in the benefits enrollment session scheduled for (should be the date closest to but following the date you started to work or will start to work):
*As Stated Above: These workshops are generally held from 9:30 a.m. until 12:00 p.m. on designated dates, and the location is the Human Resource Services Conference Room in 207 Old Main unless otherwise indicated.

Comments or Special Requests related to benefits enrollment should be entered below:

Name and telephone number of person completing request:

GO TO THE HUMAN RESOURCE SERVICES HOME PAGE

Problems with this page? Contact human-resources@marshall.edu


	Site Maintained by Human Resource Services. Copyright © 2004 Marshall University. All Rights Reserved. Read Site Disclaimer and Privacy Policy for more information. Marshall University - One John Marshall Drive - Huntington, WV 25755