Form to be submitted by supervisor/designeeName* First Last Position* Department* Work Location* Supervisor* First Last Start Date* MM slash DD slash YYYY Orientation Date*11/16/2211/30/2212/14/2212/28/221/11/231/25/232/8/232/22/233/8/233/22/234/5/234/19/235/3/235/17/235/31/236/14/236/28/237/12/237/26/238/9/238/23/239/6/239/20/2310/4/2310/18/2311/1/2311/15/2311/29/2312/13/2312/27/23Orientation ScheduleAttendance Attend Complete Orientation Attend Benefits Portion Only ID BadgePlease 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* MM slash DD slash YYYY Your Email Address*