Forms

If you cannot find a form or need assistance opening a document, please call Human Resources at 871-4950.

 Background Check Information

The university continues to require the three background clearances on all new employees (faculty, managers, coaches, etc.) and all current and new student workers and volunteers.

New Employees, Student Workers and Volunteer Information

• Faculty & Staff Instructions on Obtaining Clearances - (pdf)
• Student Employee Instructions on Obtaining Clearances - (pdf)
• Certification for Provisional Employment - (pdf)
• 72 Hour Self-Reporting of Reportable Offenses - (pdf)
• Volunteer Instructions on Obtaining Clearances - (pdf)
• Justifacts Drivers License Check Authorization - (pdf)
• I-9 Employment Eligibility Verification Form - (pdf)
• Employee Information Form - (pdf)

Millersville University will do background checks and/or receive background clearance documents for the following current faculty members:

• Temporary part-time faculty.
• Faculty who have a non-matriculated minor enrolled in one of their courses.
• Faculty who teach 100-level or equivalent courses.
• Faculty members who make regular and repeated visits to elementary, middle and high schools (K-12)
• Faculty members who work in the UPWARD Bound program (or a similar type program)

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

Classification Forms

• Management Classification Review Request - (doc)
• Staff Classification Review Request - (doc)

Dual Employment

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. 

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)
• Exit Questionnaire
• Mailing List Request Form
• 2023-2024 Holiday Schedule
• EE Status Change Request Form
• Cellular Communication Policy/Form (form is located on the last page of document)

Payroll Forms

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

PeopleAdmin Processes, Roles, Statuses, and Workflows - (Tenure Track Searches)

• This informationis being updated and will be uploaded when complete.

PeopleAdmin TPTF and TFTF Search Information

• This information is being updated and will be uploaded when complete.

 Recruitment Forms

• This information is being updated and will be uploaded when complete.

Tuition Waiver