MU Business Partner Person Data Entry Form (Non-MU Employees)

This form is used to collect information necessary to create a Person and Employee Record in the HRIS system. The Social Security Number is confidential and shall only be disclosed for a business reason.

Person Information

Have you ever been affiliated with Marshall University?(Required)

Yes

If yes, please select type of affiliation

MUID (No Dashes)

Last 4 digits of SSN

Name(Required)

First MI Last

Preferred First Name

Full Legal Name (As on Social Security Card)

First Middle Last

Biographical Information

Date of Birth

Citizenship

Race

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Ethnicity

Gender

Work Information (WK)

Effective Date for Employment

Address Line 1 (Building)

Address Line 1 (Room Number)

Address Line 2 (Main Campus)

Address Line 3 (Mailing Address Ex. One John Marshall Drive

City

State

Zip Code

Work Phone

Business Partner Information

Business Partner Name

EClass

Since you requested the appointment time to be longer than a year, it is up to your department to complete a MU Business Partner Termination Form following your departure.

Department Org to use for Business Partner

Start Date

End Date

(Accounts will be set up for one year from start date unless otherwise noted.) If no end date, the department MUST complete the MU Business Partner Termination Form.

Appointment Length Justification (If longer than 1 year)

If appointment is longer than a year, please provide extended appointment justification

Reason for Account

Supervisor Name

Requested By

Requestor Email