IOWA MEMORIAL UNION
HIRING CHECKLIST
Employee Name:
Department:
Position:
Supervisor:
To be completed by the supervisor:
New Hires to Bring to IMU Human Resources, 253 IMU:

Hiring Checklist & I-9 documents (a list of acceptable documents is listed on the back of this sheet)
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Start Date:
1. Is the employee eligible for Work Study?
no
yes.
2. Employee is temporary (working only for a specified period of time): From
to
3. ______ Employee is currently temporary and want to extend them.
4. ______ Employee was previously employed as a student and want to reauthorize.
5. ______ Currently employed in another position and adding a new one requiring a COS.
6. Is the employee required to drive as a condition of employment? _____no _____ yes.
7. Employee needs regular driving access (4 times per year or more)? ____ no _____yes.
If employee is required to drive #6 or #7 is checked yes, complete the information below. The following are standards for
staff, faculty and students who drive or may drive a University vehicle. Driving privileges will be denied if the driver’s
past three year driving record indicates any of the following:
 Three or more “at fault” accidents, or three or more moving violations, or a combination of three or more
accidents and violations; or
 Conviction of reckless driving, conviction of driving with a suspended, denied, revoked, or barred license,
conviction of hit and run, or conviction of leaving the scene; or
 License suspension, or license denial, or license revocation, or license bar; or
 Conviction of driving while under the influence of alcohol or drugs, or conviction of vehicular homicide, or
conviction of any driving offense punishable as a felony.
License Number
License State
Duration Held (circle)
< 1 year, 1-3 yrs, 3-5 yrs Or > 5 yrs
If license is held for less than 3 yrs, previous license information is needed.
License Number
License State
Duration Held (circle)
< 1 year, 1-3 yrs, 3-5 yrs Or > 5 yrs
HR Assistants/Office Forms/Hiring Checklist
.
LISTS OF ACCEPTABLE DOCUMENTS
LIST A
Documents that Establish Both
OR
LIST B
AND
LIST C
Documents that Establish
Documents that Establish Identity
Employment Eligibility
Identity and Employment Eligibility
1. U.S. Passport
1. Driver's license or ID card issued by a state
1. U.S. Social Security card issued by
or outlying possession of the United States
the Social Security Administration
provided it contains a photograph or
(other than a card stating it is not
Registration Receipt Card (Form I-
information such as name, date of birth,
valid for employment)
551)
gender, height, eye color and address
2. Permanent Resident Card or Alien
3. An unexpired foreign passport with a
temporary I-551 stamp
4. An unexpired Employment
Authorization Document that contains
2. ID card issued by federal, state or local
2. Certification of Birth Abroad issued
government agencies or entities, provided it
by the Department of State (Form
contains a photograph or information such
FS-545 or Form DS-1350)
as name, date of birth, gender, height, eye
color and address
3. Original or certified copy of a birth
certificate issued by a state, county,
a photograph (Form I-766, I-688, I-
3. School ID card with a photograph
municipal authority or outlying
688A, I-688B)
4. Voter's registration card
possession of the United States
5. U.S. Military card or draft record
bearing an official seal
5. An unexpired foreign passport with an
6. Military dependent's ID card
4. Native American
unexpired Arrival-Departure Record,
7. U.S. Coast Guard Merchant Mariner Card
5. U.S. Citizen ID Card (Form
Form I-94, bearing the same name as
8. Native American tribal document
the passport and containing an
9. Driver's license issued by a Canadian
endorsement of the alien's
nonimmigrant status, if that status
authorizes the alien to work for the
employer
I-197) an tribal document
6. ID Card for use of Resident Citizen
in the United States (Form I-179)
government authority
For persons under age 18 who are unable to
present a document listed above
10. School record or report card
7. Unexpired employment
authorization document issued by
DHS (other than those listed under
List A)
11. Clinic, doctor or hospital record
12. Day-care or nursery school record
Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274)
Form I-9 (Rev. 06/05/07) N Page 2