NEW EMPLOYEE CHECKLIST

Today’s Date______

Name______Employee No. ______Start Date______

Full-Time Part-Time Hours Per Week ______

Exempt Salary ______

Non-Exempt Hourly Rate of Pay ______

Employment Forms

/

Date Given to Employee

/
Date Form Returned
/
What to do with it or who to give it to
/ What to do with it or who to give a copy to
Application Form www.dolr.org/schoolforms / Personnel file
Employee Reference Consent and Release Form
www.dolr.org/schoolforms / Personnel file
Summary of employment for Non-Exempt employee / Personnel file / Bookkeeper
Contract for principal/teacher www.dolr.org/schoolforms / Personnel file / Bookkeeper
Employee Record (6.06) www.dolr.org/schoolforms / Personnel file / Office of Catholic Schools-DOLR
Timesheet template for Non-Exempt / Personnel file / Bookkeeper
Job Descriptions / Personnel file
I-9 Form (www.dolr.org/schoolforms / Separate file for all I-9s
Arkansas State Withholding (google for current year) / Personnel file / Bookkeeper
W-4 Federal (google for current year) / Personnel file / Bookkeeper
Arkansas New Hire
http://newhire-reporting.com/Downloads/ARform.pdf
Can be completed on line / Send to address on form / Personnel file
Emergency Contact Information www.dolr.org/schoolforms / Personnel file
Christian Brothers “Request for Group Coverage”
www.dolr.org/schoolforms / Christian Brothers (Best to go on line and fill out) Copy to Mimi / Personnel file
Allied “Flexible Spending Account”
www.dolr.org/schoolforms / Mimi Bibb – Office of Finance at DOLR / Personnel file & bookkeeper
Diocese of L.R. “Salary Reduction Agreement Form” / Bookkeeper / Personnel file

Employment Forms

/ Date Given to Employee / Date Form Returned / What to do with it or who to give it to / What to do with it or who to give a copy to

Delta Dental Application & Summary

www.dolr.org/schoolforms

/ / / Bookkeeper and a
copy to Mimi Bibb – Office of Finance-DOLR
/ Personnel file

Fidelity Retirement Forms

www.dolr.org/schoolforms
Account Application & Workplace Saving Contribution Form must be completed at the beginning of year 4 of employment in diocese or if individual wants to make personal contribution after six months of employment / Kelly Renard – Office of Finance-DOLR / Bookkeeper gets a copy of Workplace Contribution Form and
Individual keeps a
copy
Diocesan Policy
/ Date Given to Employee /
Date Form Returned
/
What to do with it or who to give it to
/
What to do with it or who to give it to
Safe Environment - All policy signature compliance related to safe environment are stored electronically on line. Each principal will have administrative rights to access information
Computer Policies – “Internet/E-mail and Social Networking”
www.dolr.org/schoolforms / Signature form in personnel file
Department of Human Service Requirements for PK Licensure / Date Given to Employee / Date Form Returned / What to do with it or who to give it to / What to do with it or who to give it to
Child Maltreatment Report ( form Arkansas Department of Human Service on line) for PK personnel / Dated copy for personnel file when sent to DHS / Send to address on form
FBI Check / Copy with date when given to employee in personnel file / Employee must get finger prints
Arkansas Criminal Record Check for PK personnel / Dated copy of form when sent to DHS / Send to address on form
Miscellaneous Forms
and Information / Date Given to Employee / Date Form Returned or Completed / What to do with it or who to give it to / What to do with it or who to give it to
Direct Deposit for Pay check
Comes from bookkeeper / Copy in personnel / Original to employee
Consent to Release Driver’s Information for employee who drives a parish or school vehicle
Contact Jim Driedric DOLR for form / Copy in personnel file / Send to Catholic Mutual
Signature form of receipt of Faculty Handbook Template found at
www.dolr.org/schoolforms / Personnel file
Posters required by Federal Law
Sent from Marilyn Worm each year
Do not pay for these posters / Post in teacher’s lounge
Workers’ Comp. Employees’ Notice of Injury
Workers’ Comp. First Report of Injury or Illness
Call diocese, Paula Lattanzi. for assistance / Copy in file
New Employee Orientation Conducted
Miscellaneous Handouts / Date Given To Employee
Christian Brothers Insurance Booklet
www.dolr.org/schoolforms or CB website
Dental Coverage Information
www.dolr.org/schoolforms
Official School Calendar
Time Sheet form
www.dolr.org/schoolforms
Sunshine Fund Memo (if applicable)
Keys
Building Access Codes
EXITING INTERVIEW / Date Completed / What to do with it or who to give it to / What to do with it or who to give it to
Exit Interview Checklist
www.dolr.org/schoolforms / Complete before person leaves / Personnel file
Exiting letter to employee (Template found
www.dolr.org/schoolforms or call for assistance) / Complete before person leaves / Personnel file and copy to employee
Employee Change/Addition
www.dolr.org/schoolforms / Complete within a week after employee leaves / Personnel file, Office of Catholic Schools
Christian Brothers Statement of Change of Active Employment
www.dolr.org/schoolforms or CB website / Complete when the exit interview is conducted if they employee has health insurance with CB / Christian Brothers
Personnel file