Human Resources: Information Request Form, Ball State University

Information Request Form

Fill out this form to receive more information about Worklife programs.

Items with an * indicate a required field.

First Name *
Middle Name
Last Name *
Address Line 1 *
City *
State *
Zip *
Phone *
Fax
E-mail address *
Work Phone
Classification *
BSU Department

Hire Date *
Yes, I'm interested in receiving the following information. Choose all that apply. *	Expectant Parent Package Child Care (infants through age 12) Kindergarten Programs University organized Rec Kids Summer Youth Program Elder Care Resource and Referral services Employment opportunities for partners of employees Barnes & Nobles Bookstore (employee discounts) University recognition programs John E. Emens College-Community Auditorium Wellness Program Speech and Hearing Clinic Counseling & Psychological Services University Recreation Centers Housing (Apartments, real estate brokers, property management) Other Leave of Absence Policy (pregnancy, maternity, child care leave) Flexible Spending Arrangements (FSA) (Pre-tax dollars used to cover the cost of medical and dependent care expenses)
If you checked 'Other,' please explain.

Comments or Questions

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