Detroit Lakes Public Schools
New Hire Data Form
Upon offer and acceptance of a position, hiring Administrators should complete this form and
attach the application form, resume, letters of recommendation, reference information etc. of the
individual hired, and forward all documents to Human Resources. The new hire should also be informed of the next
New Employee Orientation date (1st & 3rd Tuesday @ 3:45 pm) where paperwork is completed and all new hire
information is presented.
NEW EMPLOYEE & POSITION INFORMATION
Employee Name (first name, middle initial, last name):
Position Hired For: Building: Teacher/Supervisor:
Position Type: Regular Employee Temporary/Substitute Coach/Advisor
Position previously held by (list employee name):
Check Employment Status:
New Hire
Re-hire (former district employee)
Current District Employee - Specify current position:
(If the employee is resigning from a position with the district to accept this position, supervisor should request written resignation.)
Start/Hire Date: End Date (if temporary or a substitute):
Termination Date of Current Position (if applicable):
PAYROLL INFORMATION
FTE: Hours: /year /week /day
Daily Schedule: (needed for Aesop, True Time and Payroll): Start Time: Lunch in/out: End Time:
Coaching/Activity Advisor: Salary: $ /season
Hourly Position: Wage: $ /hr Classification (if any):
Salaried Position: Salary: $ /yr (Step: BA / MA Credits: )
Stretch Calendar
For Special Education Positions: Indicate Disability:
Percentage of Time Spent in Disability (if more than one disability):
Indicate Type: 1:1 or Program
If Licensure is required for position, is it:
Current? Yes No Applicable to Position? Yes No
Tier 1 Tier 2 Tier 3 Tier 4 (If no, the administrator must complete an out of Field Permissions and forward to HR.)
Employee was informed of New Employee Orientation and will attend the session on: ____________________
Hired by (your name): Today’s Date:
Approved by (Superintendent or Business Manager):
FORWARD THIS COMPLETED FORM ALONG WITH APPLICATION, RESUME, TRANSCRIPTS, LETTERS
OF RECOMMENDATION, ETC. TO HUMAN RESOURCES
HR/Office Use Only: (form received on: )
Assign Employee ID ______________________________ True Time Set-up: YES NO
Email name/title/bldg to district-wide email group Email copy of this form to Central Office email group
Remove on-line position posting / update internal position opening posting Revised
Forward original form and application materials to Angie Shoemaker for inclusion on School Board Agenda and filing 12/27/18
