Summer Sports Camp -
Employment Forms

For additional information, or questions, contact Human Resources at 435-652-7500 or hr@dixie.edu. In Athletics, contact Katie Bornstein, Assistant Director of Athletic Events, Game Operations and Facilities at 435-652-7528, or katie.bornstein@dixie.edu

Background Check, W-4 Tax Withholding, online I-9 Form, and Direct Deposit must be submitted together.

  • Pink Contract Service Form
  • Background Check
  • W-4 Tax Withholding
  • Online I-9 Form
  • State of Acknowledgement
  • Direct Deposit
  • Health Insurance

Background Check and W-4 Tax Withholding must be submitted together.

  • Pink Contract Service Form
  • Background Check
  • W-4 Tax Withholding
  • Direct Deposit

Pink Contract Service Form and W-9 must be submitted together to Accounts Payable.

  • Pink Contract Service Form
  • W-9 Form
  • Direct Deposit

Direct Deposit

Use the DSU Direct Deposit Form to participate in the direct deposit program. Deposits may be made to any bank or credit union checking or savings account. See DSU Policy 342 for additional information.Bring a void check, or a deposit authorization from the bank

Download PDF

Pink Contract Service Form

Coaches will need to complete a Pink Contract Service form with the Athletic Department. Contact Katie Bornstein for additional information at 435-652-7528, or katie.bornstein@dixie.edu.

katie.bornstein@dixie.edu

Background Check

The Background Check form needs to be completed for all new Athletic staff. Download, print, sign and return the form to the Human Resources office.

Download PDF

Online I-9 Form

Complete the online Employment Eligibility Verification (I-9) on or before your first day of employment.

The I-9 form is used for verifying the identity and employment authorization of individuals hired for employment in the United States. BOTH employees and employers must complete the form.

For details about accepted documents, see the U.S. Citizenship and Immigration Services, Accepted Documents.

New Athletic staff Bring in to the Human Resources office:

ORIGINAL UNEXPIRED ACCEPTABLE DOCUMENTS

NO expired documents, copies, faxes, digital copies, or unacceptable documents will be accepted. Failure to produce original documents will delay the process of payments.

Online I-9 Form

Statement of Acknowledgement

Policy 150 Addenda A: Minors and Vulnerable Adults on Campus and Policy 302 Addenda C: Professional Boundaries in Relationships. Employees are to review and submit the completed documents to the Human Resources office.

Download PDF

Health Insurance

As part of the Affordable Care Act, employers are required to provide a notice of the availability of a Health Insurance Marketplace Coverage.

Download PDF

Tax
Documents

W-9 Form

W-9 form for all payees who are not current students or employees. “Request for Taxpayer Identification Number and Certification”, certifies the payee’s name and TIN, that the payee is not subject to backup withholding, and they are a U.S. person, including a U.S. resident alien.

Download PDF

W-4 Tax Withholding

W-4 Tax Withholding Form is used to set your tax marital status and allowances for federal withholding tax.

Download PDF

Contact

Office of Human Resources

Email: hr@dixie.edu

Phone: 435-652-7520

Fax: 435-656-4001

Office: North Burns
225 S. University Avenue
St. George, UT 84770

AMY HOFER

HR Employment Assistant

Email: Amy.Hofer@dixie.edu

Phone: 435-652-7522

Office: Burns North 147