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*10/04/2310/18/2311/1/2311/15/2311/29/2312/13/2312/27/231/10/241/24/242/7/242/21/243/6/243/20/244/3/244/17/245/1/245/15/245/29/246/12/246/26/247/10/247/24/248/7/248/21/249/4/249/18/2410/2/2410/16/2410/30/2411/13/2411/27/2412/11/24Orientation 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*