Mailman School of Public Health

MAILMAN SCHOOL OF PUBLIC HEALTH

Office of Faculty Affairs and Human Resources

OFFICERS OF INSTRUCTION (OOI) AND RESEARCH (OOR) CHECKLIST

New Hire ______*A: Attachment

□ / 1 / TBH / Blue PAF / Paper Nomination
□ / A1 / 2 / Letter to Dr. Lee Goldman
□ / A1 / 3 / Letter from department chair or center director to Dean Linda Fried
□ / A1 / 4 / If OOR, salary approval letter from Anne Taylor (if salary is above CUMC review point)
□ / A1 / 5 / NYS Labor Law Section 195 acknowledgement form, completed (except for Fellows) – include earn code 007 add comps as part of the base salary
□ / A1 / 6 / Invention Agreement (FT – OOI, FT/PT OOR and GRAs only)
□ / A1 / 7 / Proof of Degree (if received within two years of appointment); for all academic appointments, in absence of copy of degree, letter from the Registrars or Dissertation Officer is the only acceptable proof
□ / A1 / 8 / Approved Position Classification Form (P.C.F.) – (Senior / Staff Associates only)
□ / 9 / If working outside the US, review International Hiring Checklist; must have memo/email approval from International Hiring Review Committee prior to hire
□ / A1 / 10 / Affirmative Action Clearance/RAPS approval form (FT only); confirmation of outside posting (FT-Assistant Professor and above or Associate Research Scientist)
□ / A2 / 11 / Curriculum Vitae (CV)
□ / A1 / 12 / Copy of Offer Letter to Candidate (FT only)
□ / 13 / Health Insurance Eligibility Form (Post-doctoral Research Fellows only) – must appoint via paper nomination
□ / 14 / Stipend Authorization Form (Post-doctoral Research Fellows only)
□ / A3 / 15 / Tax Forms (salaried only): W-4 AND IT-2104 and/or IT-2104.1 (non NYC resident only); if CT or NJ, use respective state tax forms (must be original tax forms and all forms must have the same address)
□ / 16 / I-9 processing completed online (salaried only-attach copy of Employment Authorization Document (EAD) and Passport and/or Permanent Resident Card); if F-1, need I-20 form with Practical Training approval
□ / A3 / 17 / If international, IRS Form 673 Statement for Claiming Exemption from withholding on Foreign Earned Income Eligible for the Exclusion(s) Provide by Section 911and attestation stating that employee lives/works outside US. Original Form 673 must be sent to CUMC Payroll (even if TBH)
□ / A4 / 18a / If on J-1 visa, submit copy of validated DS-2019 and I-94 card
□ / A4 / 18b / If on H-1B visa, submit H-1B form to IAO for salary, title, department change and/or termination plus copies of I-797 form and I-94 card
□ / A4 / 18c / If on G-4 visa, confirm dependent status and submit Employment Authorization Document (EAD)
□ / 19 / Confirmation of Welcome Program Invitation from Department
□ / 20 / Voluntary Self-Identification of Race and Ethnicity
□ / 21 / Emergency Contact Form
□ / 22 / New Hire Personal Information Form
□ / 23 / Job Posting Approval Form with financial supporting documents
□ / 24 / All postings need to be updated on RAPS; change selectee status to hired and then fill the position
□ / 25 / Medical surveillance scheduled date, if applicable
□ / 26 / Office of Grants and Contract Research Information Sheet (OOI and ARS FT-only)
□ / 27 / Binder: Faculty Resource Guide (FT-OOI only)
□ / 28 / Invitation to Self-Identity (Disability / Veteran Status – Optional)
□ / 29 / Fourth Year Review Log Entry. Fourth Year Review date:______
□ / 30 / Up or Out Date (Tenure code 3 only):______
□ / 31 / Mentor assignment: ______
□ / 32 / Add to Conflict of Interest spreadsheet:______
□ / 32 / Comments:______

3/21/16