Office of Human Resources 65-30 Kissena Blvd Kiely Hall 163 718-997-4455

Page 1 of 2 Last updated 3/4/14

New employee checklist

Before your first day

Make a processing appointment with an OHR Onboarding coordinator. Submit the following documentation at your processing appointment:

All employees

Copy of your signed offer letter I-9 (Complete only section 1; Bring section 2 item (s) for HR review) Social Security Card for payroll purposes CUNY Employment Application Personal Data Form Amended Constitutional Oath Certification of Prior NYS or NYC Public Service (Form 210) Tax Withholding Certificates – W-4 and IT-2104 or IT-2104E (if you qualify for an exemption) Direct Deposit Forms Policy on Acceptable Use of Computer Resources and IT Security Procedures

Teaching and Non-teaching Instructional Staff only

Reference letters – Part time appointments require TWO letters; full time appointments require THREE letters

Teaching and Non-teaching Instructional Staff and Classified Staff White Collar titles Proof of highest degree

Classified Staff only

Receipt for fingerprinting Postal money order for CUNY processing fee Release of Requested Information Report of Civil Service External Employment Form Driver’s license (Laborers, Peace Officers and Auto Mechanic titles only) Proof of required license (s) (Stationary engineer titles)

Adjuncts only

Adjunct workload reporting form

Non Resident Aliens only

New Employee Tax Notification Sheet Unexpired work authorization Unexpired foreign passport, Visa with I-94 departure record, IAP66, DS20-19

Veterans only

Military discharge paperwork

Office of Human Resources 65-30 Kissena Blvd Kiely Hall 163 718-997-4455

Page 2 of 2 Last updated 3/4/14

New employee checklist (continued)

On your first day

Report to OHR on your first day. Review time and leave policies with the HR Time & Leave Keeper. Claim your CUNYfirst account. Make an appointment to meet with the Benefits Office regarding health insurance and retirement.

Within your first week

Meet with the Benefits Officer regarding health insurance. Attend an orientation session regarding QC policies. Sign up for CUNY Alert using the CUNY portal (http://www.cuny.edu/news/alert.html)

Within your first month

Meet with the Benefits Officer regarding retirement options.

Employee Name _______________________________ EMPID# __________________________ Payroll Title _______________________________ HCM# __________________________ Division _______________________________ Department __________________________ Appointment Date _______________________________ I have explained all of the items listed above and the employee has had the opportunity to ask questions. ___________________________________ __________________________________ _________________ Print HR On-Boarder Name HR On-Boarder’s Signature Date ___________________________________ __________________________________ _________________ Print Employee Name Employee Signature Date

Demographic Information

Full Name: Last First M.I.

Social Security Number: Date of Birth:

Address: Street Address Apartment/Unit #

City State ZIP Code

Home Phone # ( ) E-mail Address:

Gender: Female Male Transgender Marital Status: Single Married

Education History

Highest Education Level: Degree: Date Received:

School Name: Major:

Military Service

Military Status (If none, write “NONE”):

Emergency Contact Information

Full Name:

Last First M.I.

Relationship:

Home Phone: ( ) Business Phone: ( )

Ethnicity*

White (Not Hispanic)

Black (Not Hispanic)

Hispanic (Not Puerto Rican)

Puerto Rican

Asian

American Indian or Alaskan Native

Italian American

Native Hawaiian or Pacific Islander

*We are Required by law to monitor Affirmative Action Program and to collect gender and ethnicity data on all employees under Federal

Executive Order #11246. Submission of this information is voluntary.

Citizenship Status

U.S. Citizenship Yes

No

If No then what is your

Country of Citizenship?

Resident Alien

Non-Resident Alien Type of Visa:

Employee Signature Date

PERSONAL DATA FORM

CONVICTION NOTICE AND LICENSE REGISTRATION FORM Upon appointment, this form will be used to verify your claims; convictions will be verified with the New York State Division of Criminal Justice Services. PLEASE ANSWER ALL QUESTIONS, one character per space. SSN # DATE:

_ _

LNAME FNAME M.I.

Please list below any other name you may be known by (this includes maiden name): LNAME FNAME M.I.

STREET ADDRESS APT #

CITY OR TOWN

STATE ZIPCODE

_ HOME PHONE # WORK PHONE #

( ) _ ( ) _ LICENSE OR PROFESSIONAL REGISTRATION: (If required for position or as stated in the vacancy notice or exam announcement, such as driver’s license, engineer’s license, etc.) 1. Name of License/Registration valid in NYC____________________________ License #______________________________________________ Name of Issuing Agency___________________________________________________________________________________________________ Date Originally Issued_______________________________________________ Date Last Renewed_______________________________ Renewal No. (if any)________________________________________________ Date of Expiration________________________________

Have you ever had a license, certificate or permit suspended or revoked? _______Yes ________No. If yes, give full details. _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ 2. Name of License/Registration valid in NYC____________________________ License #______________________________________________ Name of Issuing Agency___________________________________________________________________________________________________ Date Originally Issued_______________________________________________ Date Last Renewed_______________________________ Renewal No. (if any)________________________________________________ Date of Expiration________________________________

Have you ever had a license, certificate or permit suspended or revoked? _______Yes ________No. If yes, give full details. _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ Amendment i

/ /

REVISED CONVICTIONS To be used instead of Form 602a R-01/01 (Applicants for Security and Public Safety positions are subject to a more vigorous criminal

history background check.) A conviction record will not necessarily disqualify you from the position for which you are applying. Each record is reviewed to determine eligibility in accordance with guidelines established by the University and in accordance with New York State Law. However, FAILURE TO REPORT THE REQUIRED INFORMATION WILL AUTOMATICALLY DISQUALIFY YOU REGARDLESS OF THE REASON FOR THE OMISSION/FALSIFICATION. For each conviction or pending charge, you may state facts in favor of your employment on a separate sheet to be attached to this form. These facts will be considered when your application is being reviewed. A suspended sentence, a fine, a conditional discharge, a Certificate of Relief from Disabilities, or an adjournment in contemplation of dismissal, does not expunge an offense from your record, and the offense must be reported.

1. Were you ever convicted of an offense anywhere including felonies, misdemeanors or violations (except for traffic violations or convictions sealed, expunged or set aside under Federal or State law)?

Answer YES or NO ________________

Only a court can determine youthful offender status and seal a conviction. You are not considered a youthful offender just because of your age at the time of the conviction. If you are unsure whether a conviction was sealed, respond yes to the question and explain below or in an attachment why you are unsure. Most traffic tickets involve infractions or violations, which need not be reported. However, some convictions, such as driving while intoxicated, are classified as misdemeanors or more serious offenses, which must be reported.

2. Are there any criminal charges or violations (except for traffic violations) currently pending against you?

Answer YES or NO ________________

3. In the space below, please list: a) all felony convictions and felony pending charges regardless of the date received; and b) for misdemeanors and violations, all your convictions and pending charges for the past 10 years. If none, write “NONE”. You must list convictions even if you plead guilty or received a Certificate of Relief from Disabilities, and regardless of the penalty or sentence you received.

Date of Conviction Offense of which you Name/location Disposition including (Mo/Yr) were convicted of court incarceration

_______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ WARNING: FALSIFYING OR OMITTING ANY MATERIAL REQUIRED ON THIS FORM WILL RESULT IN YOUR DISQUALIFICATION AND YOUR REMOVAL FROM CUNY SERVICE AND MAY RESULT IN CRIMINAL PROSECUTION. YOUR STATEMENTS WILL BE CHECKED USING COURT OR OTHER RECORDS. REMEMBER TO RESPOND TO THE THREE QUESTIONS AND FILL IN THE INFORMATION REQUESTED ABOVE. DECLARATION FOR THE SECTIONS ABOVE DATE:_________________________________ I, _________________________________________________________, residing at __________________________________________________________________ (Print name) (Address) do declare that all the statements contained herein are true and correct to the best of my knowledge. ______________________________________________________ (Signature) _______________________________________________________________________________________________________________________________________ To be completed by College HR/Personnel Department Candidate______________________________________ College_______________________________ Dept._____________________ Date___________________ CSC Title_______________________________________ Action (Appt, Trans, Reinst)____________ App’t Date____________________ Status_________________ Completed by________________________________________________ Title___________________________________________ Date_______________________

HR/Personnel Director______________________________________________________ (Signature)

OFSR-Form 602a R.1-11/05 Amendment ii

QUEENS COLLEGE The City University of New York

AMENDED CONSTITUTIONAL OATH UPON APPOINTMENT (in compliance with Section 62 of the NY State Civil Service Law)

“I do hereby pledge and declare that I will support the constitution of the United States, and the constitution of the state of New York, and that I will faithfully discharge the duties of the position of _____________________________________ according to the best of my ability.

Name: _______________________________________________

Signature: _____________________________________________

Address: ______________________________________________

______________________________________________

Date: __________________________

THE CITY UNIVERSITY OF NEW YORK: FORM 210 Certification of Prior NYS or NYC Public Service

Collection of Public Pension Funds: Calendar Year ________ Dear CUNY job candidate: The New York State Retirement and Social Security Law requires retirees of a public pension plan with the State or City of New York to disclose prior public employment and pension plan history to The City University of New York for the purpose of establishing a retiree's eligibility for employment. Failure to disclose such information can result in the suspension or diminution of the retiree's public pension benefits. INSTRUCTIONS: Please complete Sections A, B, and C as they pertain to you, and sign the bottom portion of the form. A copy of this form will be required to be submitted prior to any appointment decision made by the college. You are responsible for forwarding a copy of the signed form to the college personnel office. (Adjuncts who have checked #2 in Section B must submit this form every semester in which their employment continues). Section A Name (last, first) Social Security Number Position Applied for College Section B Affidavit of Prior Service (Please check the one which applies to you): 1. I have no prior service with a public service agency, organization or jurisdiction funded by New York City or New York State. 2. I am a former employee of of the City or State of New York and: I am collecting a retirement benefit from a public pension system (including an ORP) maintained by the State or City of New York (please provide pension plan name) I am not collecting a retirement benefit based upon this public service; Section C Current Positions in Public Service (Please check one of the following only if you checked one of the following in Section B): 1. I am not currently working for another public service agency, organization or jurisdiction funded by

New York City or New York State, nor have I worked at any such entity during the calendar year. 2. I am now working for, or have worked for during the calendar year, another public service agency, organization, or jurisdiction funded by New York City or New York State (please provide details of this employment): Attestation: I hereby attest that the information I have provided above is correct to the best of my knowledge. Signature: Date: Witnessed by: Title: Date: Received by: Title: Date:

QUEENS COLLEGE

COLLEGE ASSISTANT DESIGNATION OF BENEFICIARY

FOR UNUSED ANNUAL LEAVE AND UNPAID SALARY

_________________________________________ _______________________________ NAME (PRINT) SOCIAL SECURITY NO. _________________________________________ _______________________________ TITLE COLLEGE

I. Payment of accrued annual leave and salary due and unpaid at time of death is to be paid to the following named beneficiary or beneficiaries or to my estate as indicated below in the following manner.

1) Name of Beneficiary Relationship % of Benefit

II. It is my understanding that by not designating a named beneficiary this benefit

will be paid to my estate. All previous designated beneficiaries are hereby cancelled and it is directed that payment be made upon my death as specified above. Signature of employee (DO NOT PRINT) Address of employee Signed at (CITY, STATE) Date signed Signature of witness (DO NOT PRINT) Address of witness Signed at (CITY, STATE) Date signed NOTE: It is your responsibility to submit a new designation of beneficiary whenever changing personal circumstances make a change in beneficiary necessary.

AC 2772 PLEASE SEE NEXT PAGE FOR INSTRUCTIONS

Direct Deposit Form for NYS Employees

(To be used for enrollment, changes and cancellations)

Section A: Employee Information

NAME (LAST, FIRST, MI) ________________________________________________ WORK PHONE # ( ) ____________

LAST FOUR DIGITS OF SOCIAL SECURITY # __ __ __ __ AGENCY/DEPT CODE __ __ __ __ __

For more than three accounts or if you prefer to list each Financial Institution on a separate form, use additional forms as necessary. Up to seven fixed amount or percentage deposits may be processed as well as one excess (net pay) deposit.

Section B: Account Type New or Additional *

( )

Change Joint

Account Holder *

( )

Change Amount or Percentage

( )

Cancel

( )

Name of Financial Institution

Account Number Amount, Percentage or

Excess

1. Savings Checking

2. Savings Checking

3. Savings Checking

*For new/additional accounts with joint account holders or to add a joint account holder to existing accounts, both signatures are required in Section D.

Section C: This section must be completed by your financial institution for new/additional accounts when directing funds into a savings account or into a checking account if a voided personal check is not attached. The employee’s name MUST appear on the account(s). As a representative of the below named financial institution, I certify that this institution is ACH capable and agree to receive and deposit the salary to the account shown above in accordance with Part 102 of the Codes, Rules, and Regulations of the State of New York and to be bound by such rules. Salary credited to the account below will be available to the depositor on payday.

1. NAME OF FINANCIAL INSTITUTION __________________________________________ Account Type Savings Checking

Depositor’s Account Number (EFT Format) Routing Number ________________________________________________________ __ __ __ __ __ __ __ __ __

Print or Type Representative’s Name

Signature of Representative Telephone Number Date

2. NAME OF FINANCIAL INSTITUTION __________________________________________ Account Type Savings Checking

Depositor’s Account Number (EFT Format) Routing Number ________________________________________________________ __ __ __ __ __ __ __ __ __

Print or Type Representative’s Name Signature of Representative Telephone Number Date

3. NAME OF FINANCIAL INSTITUTION __________________________________________ Account Type Savings Checking

Depositor’s Account Number (EFT Format) Routing Number ________________________________________________________ __ __ __ __ __ __ __ __ __

Print or Type Representative’s Name Signature of Representative Telephone Number Date

Section D: Employee/Joint Account Holders Certification: I certify that I read and understand the instructions to this form, including the authorization for recovery. In signing this form, I authorize my salary payment to be sent to the designated financial institution(s) to be deposited into the specified account(s). The joint account holder for accounts listed in Section B, if any, must sign on the corresponding line for new/additional accounts or account holder(s).

Employee Signature___________________________________________________________________________ Date __________________

B-1 Joint Account Holder ___________________________________________________________________________ Date ____________________

B-2 Joint Account Holder ___________________________________________________________________________ Date ____________________

B-3 Joint Account Holder ___________________________________________________________________________ Date ____________________

INSTRUCTIONS: Please complete the form as described below, and then forward it to your agency/department payroll or personnel office. You can also contact that office for assistance in completing the form. NEW/ADDITIONAL ACCOUNT OR CHANGES IN ACCOUNT HOLDERS: Employee must complete Sections A, B, and D for each new/additional account or for changes in account holders. See instructions below for Section C. Section A: Indicate your name, work phone number and Agency/Department code. For your personal privacy, enter only the last four digits of your social security number. Section B: To enroll in direct deposit or add an account, place a check mark in the account type (checking or savings) and in the “New or Additional” column. For changes in account holders, place a check mark in the account type and in the appropriate “Change” column. Indicate the name of the financial institution, account number, and amount or percentage to be deposited.

Employees may choose up to seven fixed amount or percentage deposits, as well as one excess (net pay) deposit. This form accommodates up to three accounts. For more than three accounts or if you prefer to list each financial institution on a separate form, use additional forms as necessary.

Account number is obtained from a personal check, bank statement, or the financial institution. To deposit a fixed amount, enter a specific amount (may include cents, e.g. $100.25). To deposit a portion of

the paycheck, enter a specific percent (must be a full percentage, e.g. 50%). Write the word “excess” to deposit the remainder of monies after all other distributions.

Section C: For Savings Accounts, this section must be completed by your financial institution(s). For Checking Accounts, this section must be completed by your financial institution(s) if you are not attaching a voided personal check. The employee’s name must appear on the account. Section D: The Employee/Joint Account Holder Certification must be signed by the employee in all instances and any joint account holder if this is a new/added account. By signing this form, the employee and any joint account holder each allows the State, through the financial institution, to debit the account in order to recover any salary to which the employee was not entitled or that was deposited to the account in error. This means of recovery shall not prevent the State from utilizing any other lawful means to retrieve salary payments to which the employee is not entitled. CHANGES TO MONEY OR PERCENTAGE AMOUNT: Employees may add, change or cancel the money or percentage amount deposited to an account by completing Sections A, B, and D of a new Direct Deposit Form. Section C does not need to be completed for these changes. In Section B, place a check mark in the appropriate “Change” column. New fixed amount or percentage direct deposits will be assigned a lesser priority than existing fixed amount or percentage direct deposits. For example, if an employee’s pay is not sufficient to cover all direct deposits, the most recently designated direct deposit(s) will not be taken. To change direct deposit priorities, please contact your agency payroll or personnel office. Financial institution changes may take up to two payroll periods to become effective. Employees should maintain accounts canceled and replaced by new accounts until the new transaction is complete. If canceled accounts are not temporarily maintained until the new account receives the employee’s direct deposit transaction, employees may experience a delay in payments. Joint account holder’s signature is not required for these transactions. CANCELLATIONS: The agreement represented by this authorization will remain in effect until canceled by the employee, the financial institution, or the State agency. To cancel the agreement, the employee must complete Sections A, B and D of a new Direct Deposit Form for the transaction(s) to be canceled. Joint account holder’s signature is not required. The financial institution may cancel the agreement by providing the employee and the State agency with a written notice 30 days in advance of the cancellation date. The financial institution cannot cancel the authorization without notification to both the employee and the State agency. The State agency may cancel an employee’s direct deposits when internal control policies would be compromised by this form of salary payment.

Additional Information

The information on this form is required pursuant to Part 102 of the Codes, Rules and Regulations of New York State (2 NYCRR 102). This form is a legal document and cannot be altered by the agency, employee or financial institution. If there are any changes, the employee must complete a new form. The information supplied by the employee will be provided only to the designated financial institution(s) and/or their agent(s) for the purpose of processing payments. Failure by the employee to provide the requested information may delay or prevent the receipt of payments through the Direct Deposit/Electronic Funds Transfer Program of the Bureau of State Payroll Services, NYS Office of the State Comptroller.

New Employee On-Boarding & Existing Employee Orientation for IT Security Why is IT Security important at CUNY?

- We must ensure our academic and administrative systems continue to be available to run the business of the University and to serve our faculty, students, and staff.

- We must maintain accurate University data and prevent unauthorized changes (e.g., grades, financial aid information).

- We must be reputable custodians and are required by law to protect the privacy of personal data belonging to our faculty, students, and staff.

What are the IT Security risks to CUNY?

- Don’t be phished. Phishing is a scam in which an email message directs you to click on a link that takes you to a web site where you are prompted for personal information such as passwords, social security number, bank account number or credit card number. Both the link and web site may closely resemble an authentic web site, but they are not legitimate.

- Don’t disclose personal information to someone you don’t know. Social engineering is an approach to gain access to information through misrepresentation. It is the conscious manipulation of people to obtain information without their realizing that a security breach is occurring. It may take the form of impersonation via telephone or in person, and through e-mail.

- Don’t disclose personal information within CUNY unless it is absolutely necessary. The need for disclosing your social security number outside of the Human Resource (HR) department would be unusual. When in doubt, contact the HR department directly to verify the legitimacy of the request.

- Protect your user ID and password and never share them. Your user ID is your identification, and it is what links you to your actions on CUNY’s computer systems. Your password authenticates your user ID. Use passwords that are difficult to guess and change them regularly.

- You are responsible for actions taken with your ID and password. Log off or lock your computer when you are away from your workstation. In most cases, hitting the “Control-Alt-Delete” keys and then selecting “Lock Computer” will keep others out. You will need your password to sign back in, but doing this several times a day will help you to remember your password.

- E-mail and portable devices are not secure. Do not ship personal information belonging to you or CUNY faculty, students, and staff to portable devices (e.g., portable hard drives, memory) or send or request to be sent such personal information in an e-mail text or as an email attachment without encryption.

- Be careful when using the Internet. Malicious code can take forms such as a virus, worm or Trojan and can be hidden behind an infected web page or a downloaded program. Keep anti-virus and anti-malware programs and the software on your workstation up-to-date at all times. Only install software authorized by your department, and never disable or change security programs and their configuration.

Where are the CUNY IT Security information resources?

- Security.cuny.edu is available 24 hours a day from any Internet accessible location without a user ID and password. All relevant policies, procedures, and advisories, the IT Security awareness program and materials, and links to external IT Security information resources are located here.

- Find the Policy on Acceptable Use of Computer Resources under Info Security Policies.

- Find the IT Security Procedures – General under Info Security Policies. - To take the IT Security Awareness tutorial, approximately 30 minutes, click on the

padlock on the home page of security.cuny.edu. Who to contact for help with IT Security at CUNY?

- Your supervisor. - Your College web-site. - security.cuny.edu - The College IT Security Manager (click on Campus Security Managers Contact

Information at security.cuny.edu under Contact Us). - The College Chief Information Officer or equivalent in the Central Office

department. - The CUNY Central IT Security Office at security@mail.cuny.edu; or the Contact Us

page at security.cuny.edu; or the Who to Contact for Help page at security.cuny.edu. Where are some external resources for help with IT Security located?

- New York State Office of Cyber Security and Critical Infrastructure Coordination (CSCIC) at www.cscic.state.ny.us

- Federal Trade Commission at www.ftc.gov - Privacy Rights Clearinghouse - Nonprofit Consumer Information and Advocacy

Organization at - Anti-Phishing Working Group – Committed to wiping out Internet scams and fraud at

www.privacyrights.org

- Microsoft Malware Protection Center, Threat Research and Response at www.antiphishing.org

www.microsoft.com/security/portal What is required of me as an employee of CUNY?

- Acknowledge, by signature below, receipt of the Policy on Acceptable Use of Computer Resources.

- Acknowledge, by signature below, receipt of the IT Security Procedures – General. - Complete the IT Security Awareness tutorial within the first 30 days of employment. - Maintain compliance with the Policy on Acceptable Use of Computer Resources and

the IT Security Procedures at all times. If you discover or suspect a security breach, you should report the incident to your supervisor, the College IT Security Manager (click on Contact Us at security.cuny.edu) and the CUNY Central IT Security Office (security@mail.cuny.edu) immediately. ______________________________________________________________________________________________________________ I hereby acknowledge receipt of the Policy on Acceptable Use of Computer Resources and the IT Security Procedures – General. ____________________________________ ____________________________________ (printed name) (signed) ____________________________________ ____________________________________ (College/business area) (date)

One copy for personnel file. One copy to employee. V02, July 2010

Page 1 of 2 Updated by QC OCT Accounts Manager on October 2013

First Name _____________________________________ Middle ___________ Last Name ___________________________________________

Home Address _____________________________________________________________ City __________________________ State ________

Zip Code ___________ Home Phone: (_______) - _______ - ___________ Department____________________________________________

Campus Phone (_______) - _______ - _______________ Bldg ________________________________ Room # _________________________

Faculty (you are considered faculty if you are teaching at least 1 class here at QC) Staff (not teaching at QC) Guest (please specify):___________________________________________ *** does not get QC email account *** * * * * PLEASE NOTE: guest does not get a QC email account * * * * Sponsor (sponsor must be full-time faculty/staff ): ______________________________________________________________ Expiration date: (MM/DD/YYYY): ________ / ________ / ____________ (see QC Account Policy 3rd paragraph)

Full Time Part Time

Individual Account (Not intended for student accounts) Your information will be added to CAMS (College Account Management System). After this form has been processed you will need to activate your QC Username account by pointing your web browser to cams.qc.cuny.edu 9-digit Social Security #: ____ ____ ____ - ____ ____ - ____ ____ ____ ____

Date of Birth (MM/DD/YYYY): ______ ______ / ______ ______ / ______ ______ ______ ______

8-digit EMPLID#/CUNY id # (from claiming CUNY1st account): ____ ____ ____ ____ ____ ____ ____ ____ Valid off-campus email for the OCT Accounts Manager to email you the account notification only: Off-campus email ___________________________________________________________________________________ (for account notification only)

OCT will not be responsible for notification if no valid email provided or if unreadable.

Office of Converging Technologies Computer Account Request Form (For Faculty/Staff only)

Complete this form and return it (in person) to the OCT Helpdesk located in DH-151. An original letter addressed to OCT Accounts Manager stating your full legal name, ss#, date of birth and status typed on department letterhead must be included & attached to this form along with a copy of your govt-issued picture id (driver license, passport, non-driver id.) This form will not be processed if incomplete &/or illegible. All signatures required. Please allow 2 to 3 business days for your request to be processed. Please see the 2nd page for more information about the account policy.

QC Status (please check one for the account you are applying for) Not intended for students.

Personal Information (PLEASE PRINT LEGIBLY) (full legal name as registered with Queens College)

ORIGINAL DEPT LETTERHEAD TO OCT & DRIVER LICENSE WITH THIS REQUEST FORM REQUIRED: Please attach an original letter from your dept addressed to OCT Accounts Manager stating your name, ss#, date of birth & status (ex: full-time, part-time, adjunct, college assistant, student aide, etc) on dept letterhead signed by the dept chairperson, officehead or dept secretary to this form. Letters address NOT to OCT Accounts Manager will NOT be accepted. Please attach a copy of your govt-issued picture id (ex: driver license, passport, non-driver id, visa immigration document, etc). Please note that an OCT helpdesk tech must complete the bottom section in order to be processed. Print Dept Chairperson/Officehead or Dept Secretary or Sponsor Name: _________________________________________________________________________ Date ______/_______/__________ Signature of Dept Chairperson/Officehead or Dept Secretary or Sponsor signature (please sign): _________________________________________________________________________

OCT USE ONLY (THIS FORM WILL NOT BE PROCESSED IF THIS BOX IS NOT COMPLETED BY AN OCT HELPDESK TECH)

OFFICIAL DOCUMENT XEROXED & ATTACHED WITH ORIGINAL DEPARTMENT LETTER TO FORM BY (ex: driver license, etc.) REQUIRED: MUST BE ORIGINAL DEPT LETTERHEAD NOT XEROX COPY & ATTACH GOVT-ISSUED ID

& Please attach original dept-signed dept letterhead addressed to OCT Accounts Manager & govt-issued id to this request form

Please attach: Original dept letterhead attached & Copy of driver license/passport attached

Accepted by OCT Helpdesk Tech (Please Print) _____________________________________________________________________

Please check what user needs? ADS QC Email QC ID card

Signature of OCT Helpdesk Tech________________________________________________________ Date ______/_______/__________

This form must be signed & dated by an OCT Helpdesk tech in order to be processed

User need QC Email account? Yes No

Page 2 of 2 Updated by QC OCT Accounts Manager on October 2013

Queens College Account Policy: All current registered QC faculty & staff are eligible for a QC Email (email only) account and a QC Username (aka ADS or AD) account. OCT strongly encourages the campus community to activate & use their QC email account while attending QC. Forwarding of QC email is not support by OCT. An original letter from the dept addressed to OCT Accounts Manager stating your name, ss#, date of birth & status (ex: full-time, part-time, adjunct, college assistant, student aide, etc) & if the user needs a QC Email account or not typed onto original dept letterhead must be included & signed by the dept chairperson/ officehead or dept secretary) & attached to this form. This is due to the ineligible handwriting that can not be deciphered correctly & to prevent mistakes. This form must be signed by the user’s dept chairperson, officehead or dept secretary (because this form will not be processed without a sponsor’s name & signature. The form will not be processed if incomplete and/or illegible. This form is not intended for student accounts. An OCT Helpdesk Tech must sign & date the bottom of the form as proof. This form must have the sponsor signature (dept chairperson, officehead, secretary or full-time faculty or full-time staff) & OCT Helpdesk staff signature in order to be processed. In order to get a QC faculty, staff or guest account, they must have a QC full-time faculty or QC full-time staff sponsoring him/her. Non-QC employees (including teaching fellows) must include a signed letter from a sponsor at QC briefly describing intended use of the account and a date at which the account will be expired. Generally the sponsor would be your dept head or chairperson. If no expiration date is specified then the default expiration date will be set to two weeks after the beginning of the following semester. A “guest” only gets a QC Username account and does NOT get a QC Email account. Write down a valid off-campus email address so that the Accounts Manager can email you the account notification. Not responsible if no valid off-campus is written on the request form. If you need a Generic Department email account please go to the OCT Helpdesk window located in DH-151 for a “Strawman Email Account Request Form”. You must provide your QC email address so that the Accounts Manager can email the account notification to you. Account information will not be sent to external email systems. You must activate your QC account by pointing your internet browser to the CAMS (College account Management System) webpage at https://cams.qc.cuny.edu then click on “I am a first time CAMS users and do not have an account” located just above the “login” button. Please check the spelling of your name before you activate your account(s). Please check with OHR to make sure your name is correct in the system. If the spelling of your name is wrong please go to the OCT Helpdesk & ask for a faculty/staff account name change form so that your name can be corrected before your account(s) gets created. Please note that OCT will not be responsible for the correction of your name once you activate your account(s). Due to security reasons OCT suggests that you bring this completed form in person to the OCT Helpdesk located in DH-151. Please allow 2 to 3 business days for your Computer Account Request Form to be processed. Queens College Account Termination Policy: It is the responsibility of the user to fill out the Account Transfer Termination form when the user’s job has been terminated. The user’s QC accounts will be terminated on the day the user filled out next to “effective termination date” on the form. A user’s QC accounts will also be terminated if the user’s name is on the “separation report” (emailed to the Accounts Manager from the Human Resource Office) & has been confirmed by the user’s department chairperson/office head that the user has indeed left QC. A letter written on department letterhead from the your department chairperson/office head must be handed into the OCT Helpdesk stating that you have retired but need your account(s) reactivated must include your full name, current status, which account(s), which system, why you need the account(s) to stay active & for how long the account(s) is to stay up. Please note that the system needs an expiration date. Queens College Account Security Policy: By signing the “Computer Account Request Form,” you acknowledge and accept your responsibility for maintaining the confidentiality and security of the student information system. Your QC account, in compliance with Federal, State, and University regulations, is to be used solely for QC-related work, and not for personal use. Violations of these policies will be dealt with in accordance with University policy guidelines. Helpful Hints and Tips on Safeguarding Your Account: You should take all necessary precautions in protecting your QC computer account. Do not leave a terminal which has been logged on to your account. Locking down your computer via a “Windows” password is highly recommended. Do not share account or password information with anyone. An account assigned to you, by the College, must not be used by others. You should change your password frequently and should not disclose it to anyone. Password Tips: Avoid using actual words. Jumbled letters and/or numbers make the best password. Change your password from the initial setting. Do not use nicknames, birthdates or names of spouses or children. If you must write your password down, never identify it as such.

Rev 2-7-2014

Procedures for Candidates Fingerprinting

Morphotrust USA Enrollment Services (formerly L1 Enrollment Services)

As part of the background check, the next step in the hiring process is for you to provide The

University with fingerprints. To do so, please follow the instructions hereunder:

1. You are required to pre-register prior to going to fingerprint location by:

a) Calling 1-877-472-6915 to speak with a Customer Service Representative (CSR) so

they can capture demographic data and make $84.95 payment; or

b) Visit MorphoTrust USA website at www.identogo.com and submit your demographic

data and make payment.

2. At the time of registration, you will need to provide the following information:

CUNY ORI#: NY931680Z

Name of College you are applying to: _____________ __

College ID Code you are applying to: _______________

3. At the fingerprint location, you are required to take this notice and two forms of identification.

Please note: a photo ID is required before any applicant can be fingerprinted (acceptable

forms of photo ID are either state or federally issued, i.e. Drivers License, State ID, Passport,

Alien Registration Card, Unexpired Foreign Passport, School or College ID, Unexpired

Employment Authorization with photo, or Photo ID Card issued by Federal, State, or Local

Gov’t). Along with a Social Security Card, Voter Registration Card, US Military Card or

Draft Record, Military Dependants ID, Coast Guard Merchant Mariner ID, Native America

Tribal Document, Canadian Drivers License, Permanent Resident Card, US Passport (expired

or unexpired), Alien Registration Receipt Card, Unexpired Foreign Passport, Photo ID Card

issues by Federal, State or Local Gov’t, Original or Certified Copy of Birth Certificate,

Certificate of Birth Abroad (issued by US), or a US Citizen ID Card.

4. Once you have been fingerprinted, the fingerprint technician will transmit the fingerprint

records electronically to the Division of Criminal Justice Services. The fingerprint technician

also issues a receipt for the fingerprinting service to you. The Division of Criminal Justice

Services processes the background check for the state of New York. When the background

check is completed, the results are returned directly to The City University of New York.

Please see reverse side

Office of Human Resources Management Campus HR Advisory Services 205 East 42nd Street, 10th floor New York, N.Y. 10017 646-664-3311 Fax 646-664-3836 Classified.CentEx@mail.cuny.edu

Office of Human Resource Management Campus HR Advisory Services 535 East 80th Street New York, NY 10075 Tel: 646-664-3311 Fax: 646-664-2962 Classified.CentEx@mail.cuny.edu

Rev 2-7-2014

5. Payment for fingerprinting services is required at the time of the fingerprinting appointment.

MorphoTrust USA accepts personal check, money order, business check, credit card, e-check,

and escrow account transactions.

6. Fingerprint technicians do not have access to credit card machines at the fingerprint

locations, so applicants cannot pay for their fingerprinting by credit card on location. This

will need to be done via the web at www.identogo.com or by calling into the call center at 1-

877-472-6915.

Final Note: Fees for fingerprint services vary depending on the type of background check

required. The fees assessed by MorphoTrust USA include the fingerprint rolling

charges and any fingerprint processing charges levied by the Department of State.

MorphoTrust USA collects the fee for each applicant and makes the appropriate

payments to the Division of Criminal Justice Services on behalf of the applicants.

Appointments are required at all locations - please proceed to the appointment

registration page and set up an appointment time for your fingerprinting or

call toll-free 877-472-6915

Location listing is accurate as of Friday, February 07, 2014 locations are subject to change without notice.

NEW YORK METRO

Bronx - E 149Th St Bronx, NY. (349 E 149th St, Ste 605) [Map (opens new browser)]

Mon, Tue, Thu & Fri 9:00 - 5:00; Wed 9:00 - 6:00; E/O Sat 10:00 - 2:00

Bronx - E 149th St - 2nd System Bronx, NY. (349 E 149th St, Ste 605) [Map (opens new browser)] Mon - Thu 9:00 - 2:00 & 2:30 - 4:00

Bronx - Third Ave - 2nd System Bronx , NY. (2804a Third Ave) [Map (opens new browser)]

Mon, Tue, Thu & Fri 9:00 - 5:00; Wed 9:00 - 7:00; Sat 9:00 - 2:00

Bronx - Third Ave - Between 147th & 148th St

Bronx, NY. (2804a Third Ave) [Map (opens new browser)]

Mon, Tue, Thu & Fri 9:00 - 5:00; Wed 9:00 - 7:00; Sat 9:00 - 2:00

Brooklyn Brooklyn, NY. (2174 Fulton St) [Map (opens new browser)] Mon - Thu 9:00 - 5:00; Fri 9:00 - 7:00; E/O Sat 9:00 - 3:00

Brooklyn - Flatbush Brooklyn, NY. (1772 Flatbush Ave - Between Ave's J & K) [Map (opens new browser)]

Mon - Fri 9:00 - 12:00 & 12:30 - 9:00; Sat 10:00 - 12:00 & 12:30 - 6:00

Brooklyn - Flatbush - 2nd System Brooklyn, NY. (1772 Flatbush Ave Between Ave's J & K) [Map (opens new browser)] Mon - Fri 10:00 - 3:30 & 4:00 - 7:00

Glendale Glendale, NY. (79-63 Myrtle Ave) [Map (opens new browser)]

Mon, Tue, Thu & Fri: 9:00 - 12:00 & 1:00 - 5:00; Wed 9:00 - 12:00 & 1:00 - 7:00; Sat 10:00 - 2:00

New York - Broadway New York, NY. (1412 Broadway, 17th Fl) [Map (opens new browser)] Mon - Fri 9:25 - 1:00 & 2:00 - 4:45

New York - W 35th St New York, NY. (247 W 35th St, Ste 201) [Map (opens new browser)] Mon - Fri 9:00 - 1:30 & 2:30 - 5:20; Sat 10:00 - 4:00

New York - W 35th St - 2nd System

New York, NY. (247 W 35th St, Ste 201) [Map (opens new browser)] Mon - Fri 9:00 - 1:30 & 2:30 - 5:20; Sat 10-4

New York - W 35th St - 3rd System

New York, NY. (247 W 35th St, Ste 201) [Map (opens new browser)] Mon - Fri 9:00 - 1:30 & 2:30 - 5:20; Sat 10:00 - 4:00

New York - W 35th St - Commercial Apps Only

New York, NY. (247 W 35th St, Ste 201) [Map (opens new browser)] Tue, Wed & Thu 9:00 - 2:00

Rev 2-7-2014

New York - William St - 2nd System

New York, NY. (130 William St, Ste 900) [Map (opens new browser)]

Mon & Thu 9:00 - 6:00; Tue & Fri 9:00 - 5:00; Wed 9:00 - 7:00; 3rd Sat 9:00 - 1:00

New York - William St - Across from Dept of State

New York, NY. (130 William St, Ste 900) [Map (opens new browser)]

Mon & Thu 9:00 - 6:00; Tue & Fri 9:00 - 5:00; Wed 9:00 - 7:00; 3rd Sat 9:00 - 1:00

New York - William St - Commercial Apps Only

New York, NY. (130 William St, Ste 900, Ninth Flr) [Map (opens new browser)] Mon - Fri 9:00 - 5:00

Queens - Jamaica Jamaica, NY. (9024 161st St) [Map (opens new browser)] Mon - Fri 7:00 - 8:00; Sat 8:30 - 3:00

Queens - Jamaica - 2nd System Jamaica, NY. (9024 161st St) [Map (opens new browser)] Mon - Fri 7:00 - 8:00; Sat 8:30 - 3:00

Staten Island Staten Island, NY. (159 New Dorp Plz, Ste 201) [Map (opens new browser)]

Mon & Wed 11:00 - 5:00; Tue & Thu 9:00 - 3:00; Fri 9:00 - 3:00; E/O Sat 10:00 - 3:00

Yonkers Yonkers , NY. (5 Seminary Ave, Ste 4) [Map (opens new browser)]

Mon, Tue, Wed & Fri 10:00 - 2:30 & 3:30 - 5:00; Thu 10:00 - 2:30 & 3:30 - 7:00; Sat 10:00 - 2:00