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Deaf or Hard of Hearing? Duke Human Resources
705 Broad St. Box 90496
Durham, NC 27705
Phone: (919) 684-5600
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Staff Orientation Sign-Up (Campus)

This form should be used by payroll clerks or managers to register staff in the orientation welcome event. All staff members are required to attend orientation.  Please register them as soon as possible so that they have ample time to enroll in benefits.  Staff members must enroll in health insurance, dental insurance, and reimbursement accounts within 30 days of gaining eligibility.  Otherwise, they will have to wait until the annual open enrollment period or a qualifying life event to sign up.

Note: This form is for campus staff only.
DUHS/Medical Center Orientation Sign-Up
Faculty Orientation Sign-Up

Please fill out the form completely.  ** Indicates a required field

Staff Member First Name**
Staff Member Last Name**
Department Name
Staff Member Email Address
Staff Member Home Address**
      Zip Code**
Staff Member Campus Box No.**
Work Schedule** Full-Time Part-Time
Payroll Area Monthly Biweekly
Hire/Eligibility Date**
Pay Point (Org Key)**

Department HR Rep's Name**
Department HR Rep's Email Address**
Manager's Name**
Manager's Email Address**

*Provide the information below only if you want your new staff member to have a Duke ID badge made at the NSO event.

Staff Member Duke Unique ID
(if available)
Duke Card Type:
(choose one)
Standard magnetic-stripe card ($5)
Magnetic-stripe/ proximity card ($15)
Cost Object Number

Preferred Orientation Date
(must be within 30 days of hire/eligibility date)**
Tuesday, April 29, 2014
Tuesday, May 13, 2014
Wednesday, May 28, 2014
Tuesday, June 10, 2014
Tuesday, June 24, 2014
Tuesday, July 8, 2014
Tuesday, July 22, 2014

After you submit the staff member for their orientation event you will receive an e-mail confirming the date and time of the orientation for this staff member.