Orientation Signup

Form to be submitted by supervisor/designee

Name*

First Last

Position*

Department*

Work Location*

Supervisor*

First Last

Start Date*

Orientation Date*

Orientation Schedule

Attendance

Attend Complete Orientation
Attend Benefits Portion Only

ID Badge

Please only fill in the following section if your employee is waiting until Orientation day to obtain a badge. Employee will need to arrive 15 minutes early.

ID badge & FOB: Building access needed
ID badge ONLY: No building access is needed

Phone number to show on ID badge if lost or stolen*

Employment Type Status

Full-Time Permanent (FTPM)
Full-Time Intermittent (FTIN)
Full-Time Temporary (FTTE)
Part-Time Permanent (PTPM)
Part-Time Intermittent (PTIN)
Part-Time Temporary (PTTE)
Volunteer/Intern

Number of hours for part time employee

Employee Information

This employee is under a bargaining unit

Departments NOT under the Board of Commissioners

A copy of the approved new hire employee action form has been forwarded to the Human Resources Department.

This form completed by*

First Last

Your Extension*

Today's Date*

Your Email Address*

Delaware County Human Resources

Form to be submitted by supervisor/designee

Orientation Schedule

Employee Information