PLEASE FILL OUT BOTH OLD AND NEW EMPLOYEE INFORMATION - Note: Extensions must stay with the position

Old Employee Information:

Name: ID Number:

Title: Supervisor:

If there are multiple supervisors, please list additional supervisor name here:
***as shown on organizational chart***

Department: Phone Extension:

Call handling instructions until replacement is hired:  Select from List Cover Calls Delete Voice Mail Not Applicable
If Cover Calls is selected, to which phone extension?

Supervisor: If the departing employee works on Fort Riley, please remember to collect their access badge, nametag and Barton photo ID.

***If there are further instructions, please include in the Comments section below.

Office Number: Last Working Day:

Position Class and Codes: Select From List 10 President 20 Vice President and Deans 30 9-10 Month Full Time Faculty 35 11-12 Mo FT Faculty-BT Campus 36 11-12 Mo FT Faculty-FR Campus 40 AdjFac/ExmptStaff(NoBnfts) 45 PT Faculty 50 FT Exempt Staff 51 FT Exempt-Less Than 12 Mos. 55 PT ExmptSt (PartBenefits) 60 FT Hourly Staff 61 FT Hourly-Less Than 12 Mos. 70 PT Hourly Staff (PartBenefits) 71 PT Hourly Staff (No Benefits) 75 PT Hourly Staff (Temp)

New Employee Information:

Name:

Title: Supervisor:

If there are multiple supervisors, please list additional supervisor name here:
***as shown on organizational chart***

Department: Phone Extension: Office Number:

Keys Needed: Select from list or include in Comments section Same keys as previous employee No keys needed

Banner Access Needed: Select from list or include in Comments section Same Banner access as previous employee No Banner access needed

Faculty Instructional Teaching Area(s): Select from List ACCT ADHC AGRI ANTH ARTS AUTO BSTC BUSI CHEM CHLD CNHI COMM CORR CRFT CRIM DANC DIET DRAF ECON EDUC ELEC ELTR EMHS EMSA EMTS ENGL GRPH HIST HLTH HOME HZMT JOUR LANG LEAD LIFE LITR MATH MDAS MLTC MLTR MSCT MUSI NAID NATG NTWK NURS OFTC OSHA PETR PHED PHIL PHRM PHSC PHYS POLS PRGM PSYC READ RELI SOCI STAT THEA TRAD WDWK WELD Select from List ACCT ADHC AGRI ANTH ARTS AUTO BSTC BUSI CHEM CHLD CNHI COMM CORR CRFT CRIM DANC DIET DRAF ECON EDUC ELEC ELTR EMHS EMSA EMTS ENGL GRPH HIST HLTH HOME HZMT JOUR LANG LEAD LIFE LITR MATH MDAS MLTC MLTR MSCT MUSI NAID NATG NTWK NURS OFTC OSHA PETR PHED PHIL PHRM PHSC PHYS POLS PRGM PSYC READ RELI SOCI STAT THEA TRAD WDWK WELD Select from List ACCT ADHC AGRI ANTH ARTS AUTO BSTC BUSI CHEM CHLD CNHI COMM CORR CRFT CRIM DANC DIET DRAF ECON EDUC ELEC ELTR EMHS EMSA EMTS ENGL GRPH HIST HLTH HOME HZMT JOUR LANG LEAD LIFE LITR MATH MDAS MLTC MLTR MSCT MUSI NAID NATG NTWK NURS OFTC OSHA PETR PHED PHIL PHRM PHSC PHYS POLS PRGM PSYC READ RELI SOCI STAT THEA TRAD WDWK WELD

Faculty Member will be Teaching Credit, Non-Credit or Both: Select from List Credit Non-Credit Both Credit and Non-Credit

Will the Faculty Member be Teaching for BARTonline? Select from List Yes No Not Applicable

For part-time non-temporary hourly and part-time salaried positions (non-Adjunct Faculty), please enter the number of hours worked per year: 

Will the employee be regularly driving an average of one or more days per week for College business?: Select from List Yes No Not Applicable

Will this employee need Power BI training? Select from List Yes No Not Applicable

Will this employee be a Faculty Load and Compensation user? Select from List Yes No Not Applicable

Will this employee be a Maxient software user? Select from List Yes No Not Applicable

Arrival Date for Services (Salaried Positions Only) (Unless there are extenuating circumstances, please allow at least 5 working days):

First Day at Work:

Position Class and Codes: Select from list 10 President 20 Vice President and Deans 30 9-10 Month Full Time Faculty 35 11-12 MoFT Faculty-BT Campus 36 11-12 Mo FT Faculty-FR Campus 40 AdjFac/ExmptStaff(No Bnfts) 45 PT Faculty 50 FT Exempt Staff 51 FT Exempt-Less Than 12 Mos. 55 PT ExmptSt (PartBenefits) 60 FT Hourly Staff 61 FT Hourly-Less Than 12 Mos. 70 PT Hourly Staff (PartBenefits) 71 PT Hourly Staff (No Benefits) 75 PT Hourly Staff (Temp)

Describe phone routing, voice mail, or phone listing changes, changes in physical layout, additional equipment needed, desired time frame for completion, etc. in Comments section.

Comments: