Employment Forms

Athletic Sports Camp

Welcome to Dixie State University.

To get started, we will need a few tasks completed and information from you. We require the following documents for those that are new to DSU, or if you are returning after a 12-month break.

If you have any questions regarding the forms, or additional information, contact Amy Hofer in Human Resources at (435)652-7522 or Amy.Hofer@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.

We are excited to get you started as the latest member of the Trailblazer team!

P/T Athletic Camp Worker Responsibilities

First Step: select your status
                                ↓                            Or                           ↓                            Or                       ↓


Employment Eligibility Verification (I-9) Form, Background Check Form, DSU Direct Deposit, and W-4 Tax Withholding must be submitted together.

  • Employment Eligibility Verification (I-9)
  • Pink Contract Service Form
  • Background Check Form
  • DSU Direct Deposit
  • W-4 Tax Withholding
  • Statement of Acknowledgement
  • Health Insurance


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

  • Pink Contract Service Form
  • Background Check
  • DSU Direct Deposit
  • W-4 Tax Withholding
  • Statement of Acknowledgement


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

  • Pink Contract Service Form
  • DSU Direct Deposit
  • W-9 Form (Request for Taxpayer Identification Number and Certification)

Second Step: Complete Forms as Per Status from above

Complete Online

  • Employment Eligibility Verification (I-9): New and returning Part-Time Camp Workers are to complete Section 1 of the online Employment Eligibility Verification (I-9) on or before your first day of employment. Once this is complete, employees bring the original acceptable forms of ID to the DSU Human Resources office to complete Section 2. 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. New employees must bring original unexpired acceptable documents into the Human Resources office. Any expired documents, copies, faxes, digital copies, or unacceptable documents are not accepted and by bringing unacceptable types of documents will delay the process of payments. See the accepted documents for additional information.

Complete and Submit forms in the Human Resources office

  • 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.
  • Background Check Form (PDF): To be completed for all new and returning Part-Time Instructor members.
  • DSU Direct Deposit (PDF): Use the 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. Do not forget to bring a void check, or a deposit authorization from the bank.
  • W-4 Tax Withholding (PDF) form is used to set your tax marital status and allowances for federal withholding tax. Fill out numbers 1-7. Sign on the Employees signature line and date.
  • W-9 form (PDF) The Request for Taxpayer Identification Number and Certification form is 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.
  • Statement of Acknowledgement (PDF): 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.


  • Health Insurance (PDF) information is part of the Affordable Care Act, employers are required to provide a notice of the availability of a Health Insurance Marketplace Coverage.
  • SafeColleges Online Training: New and Returning employees are required to complete assigned SafeColleges training. The safety of our students, staff, and faculty is of the utmost importance. That’s why we’re pleased to offer the SafeColleges online training system for our employees. Note, if the training is not completed 60 days after the hire date, a letter of non-compliance will be placed in the employee’s file. Enter your Dixie ID and password to finish the training after your position is created. Questions or concerns regarding the SafeColleges training, contact Civil Rights & Title IX Director Cindy Cole at Cindy.Cole@dixie.edu.


Any missing items will delay processing and confirmation, and DSU will terminate an employee who fails to produce an acceptable document or documents, or an acceptable receipt for a document within three business days of the date employment begins. Thus, we appreciate your assistance when completing the employment forms promptly. Upon the successful completion of the new employee hiring process, you will have an email account created if you are new to DSU. Regularly check your DSU email account for important campus information.

Again, welcome to the Trailblazer team!


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


HR Employment Assistant

Email: Amy.Hofer@dixie.edu

Phone: 435-652-7522

Office: Burns North 147