Forms

New Employees, Student Workers and Volunteer Information

• 72 Hour Self-Reporting of Reportable Offenses - (pdf)
• Volunteer Instructions on Obtaining Clearances - (pdf)
• I-9 Employment Eligibility Verification Form - (pdf)
• Employee Information Form - (pdf)

Current Employees

• APSCUF Employees - (pdf)
• Revocation of Authorization - (pdf)
• 72 Hour Self-Reporting of Reportable Offenses - (pdf)

Pennsylvania State System Policies and Procedures for the Protection of Minors

• Board of Governors Policy on the Protection of Minors
• Office of the Chancellor's Procedure/Standard for Background Clearances and Reporting Requirements

Benefits Forms

• Request to Donate Leave

EMPLOYMENT Forms

Millersville University accepts applications at any time for temporary, part-time instructor positions.  If you are interested in being considered for a temporary, part-time instructor position, please go to the university's Employment site (click here), complete a Faculty Application and then link that application to the temporary, part-time instructor position listed in the department in which you are qualified to teach.  The department will contact you if and when they have a vacancy that matches your qualifications and experience.  The university does not accept unsolicited applications for non-faculty positions; please apply ONLY for listed vacancies. 

Dual Employment

Supervisors may request and approve dual employment arrangements by completing the "Millersville University Application for Dual Employment" form.

 

Fair Credit Reporting Act Disclosure - (pdf)

Employment Verification Forms

• Employee Brochure - (pdf)
• Employee Poster - (pdf)
• Employee Wallet Cards - (pdf)

Evaluation Forms

• Coaches Evaluation Form - (doc)

 Miscellaneous Forms

• Change of Address Form - (pdf) If your municipality has changed a Residency Certification Form must be completed and submitted also. See below for reciprocol states: 

  • New Jersey RESIDENTS ONLY - Also complete Rev 419 and NJ-W4 form

    Maryland RESIDENTS ONLY - Also complete Rev 419 form

    Ohio RESIDENTS ONLY - Also complete Rev 419  and IT 4 form

    Virginia RESIDENTS ONLY - Also complete Rev 419 and VA-4 form

    West Virginia RESIDENTS ONLY - Also complete Rev 419 and WV/IT-104 form

• Emergency Contact Information Form - (pdf)
• Mailing List Request Form
• EE Status Change Request Form
• Cellular Communication Policy/Form (form is located on the last page of document)
• Flexible Work Schedule Request For Alternate Work Schedule
• Flexible Work Schedule Request for Compressed Work Week

Payroll Forms

• Direct Deposit Form
• Student Employee Additional Position Form - (xlsx)
• Student Employee Request To Hire Form - (xlsx)
• Student Late Timesheets with Dates - (xls)