Employment Forms

DSU Camp Workers

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.

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

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.

P/T 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.

  1. Employment Eligibility Verification (I-9)
  2. Pink Contract Service Form
  3. Background Check Form
  4. DSU Direct Deposit
  5. W-4 Tax Withholding
  6. Statement of Acknowledgement
  7. Health Insurance

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

  1. Pink Contract Service Form
  2. Background Check
  3. DSU Direct Deposit
  4. W-4 Tax Withholding
  5. Statement of Acknowledgement

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

  1. Pink Contract Service Form
  2. DSU Direct Deposit
  3. W-9 Form (Request for Taxpayer Identification Number and Certification)

Second Step: Complete Forms as Per Status from above


  • 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.

Bring completed forms with supporting documents in the Human Resources office in the North Burns.

  1. Background Check Form (PDF): To be completed for all new and returning Part-Time Instructor members.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  • For Athletic Sports Camps PINK CONTRACT SERVICE FORM: Coaches will need to complete a Pink Contract Service form with the Athletic Department, as well as review DSU Policy 150, acknowledge the chaperoning of minors, and complete the required training with Centralized Scheduling. Click here to access this information about minors on campus – Contact Katie Bornstein for additional information at 435-652-7528, or katie.bornstein@dixie.edu.


  • 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.
  • Minors on Campus Training: Those camp workers paid by a Pink Contract Services Form will need to complete the Centralized Scheduling Minors on Campus Training video (approximately 10 minutes). This training will be in lieu of the SafeColleges Training listed below.
  • SafeColleges (Vector Solutions) Training: New and Returning Non-Student Employees are required to complete assigned SafeColleges trainings. 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. If these trainings are not completed 60 days after the hire date, a letter of non-compliance will be placed in the employee’s personnel file. A link to SafeColleges is available from DSU Human Resources homepage; enter your Dixie ID and password to login and see the required trainings. The trainings are typically loaded after your job information has been entered into Banner by Human Resources. Questions or concerns regarding the Employee SafeColleges trainings should be directed to Rae Matalolo (435-652-7594) or Travis Rosenberg (435-652-7521).


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 Specialist

Email: Amy.Hofer@dixie.edu

Phone: 435-652-7522

Office: Burns North 143