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Instructions for filling out the JMU Affiliate Service Request Form

Open the Affiliate Form. Enter your JMU email user name and email password in the prompt. This form is to be completed by the sponsoring individual/contact. See Policy 1337-Affiliates for more information.

Enter the data as follows (* denotes a required field):

Affiliate Information

Field

Description

Name*

Full name of the affiliate

Address*

Home address of the affiliate

Social Security Number*

SSN of the affiliate

Date of Birth*

DOB of the affiliate (mm/dd/yyyy format)

Gender*

Gender of the affiliate

Affiliate Status/Company*

The status assigned to the affiliate (see Policy 1337 for information on affiliate status/company)

Building Code
Room
Mail Stop Code (MSC)*

Building Code, Room and Mail Stop Code of the affiliate. Click here for a list of building codes and here for a list of mail stop codes.

PIN*

Enter a random 4-digit PIN number. Use any combination of numbers, even if they were used in the past for another affiliate. This is a temporary number the affiliate will use to create his/her JMU electronic ID.

Affiliate External Email Address*

The affiliate needs a non-JMU email address in order to receive a URL to activate his/her JMU electronic ID. The affiliate will use the 4-digit PIN number from above to activate the electronic ID.

Home Phone

Home/cell phone number of the affiliate

JMU Phone

Work phone number of the affiliate


Sponsoring Department Information

Field

Description

Action*

Select the appropriate action:

Action

Description

New

The first time submitting a form for the affiliate

Renewal

Renew the affiliate service before the end service date

Termination

End the service before the end service date; enter date of termination

Update Services

Update services for this affiliate. The new services selected will replace the existing services.

Department Org Code*

Department number of sponsoring department

Sponsoring Individual/Contact*

Name of sponsor/contact

Email*

Email address of sponsor/contact

PeopleSoft ID of Sponsor*

PeopleSoft ID of sponsor/contact (JACard number)

PeopleSoft ID of Affiliate

Needed if renewing, terminating or updating services (JACard number)

Services Dates*

The start and end date of affiliate service (mm/dd/yyyy format)


Services Requested

Field

Description

Will this person associate directly with minors?*

Sponsor must select YES or NO. When YES is selected, HR will receive notification that a background check is being requested

Department Org Code to be charged should a background check be required*

Enter six digit department code for background check fee to be charged to

Will this person be granted access to highly confidential data; including but not limited to social security numbers, credit card and bank account information?*

Sponsor must select YES or NO. When YES is selected, HR will receive notification that a background check is being requested

Department Org Code to be charged should a background check be required*

Enter six digit department code for background check fee to be charged to

If this person is a Contractor Affiliate, was a background check completed as a stipulation of the contract?*

Sponsor must select YES or NO. 

Department Org Code to be charged if background check is required and if it is not a stipulation of the contract*

Enter six digit department code for background check fee to be charged to 

Parking

Select the appropriate option:

Option

Description

Nothing

Affiliate will not receive a parking permit

39 or less hours a week on campus

Select if affiliate will receive a parking permit and works 39 hours or less per week

40 or more hours a week on campus

Select if affiliate will receive a parking permit and works 40 or more hours a week

<$2,500 per academic year

Select if value of all service rendered as an affiliate at JMU totals less than $2,500

Email

Select if the affiliate needs a JMU email account OR requires additional accounts

JACard (UREC Access)

Select if affiliate needs a JACard

Library

Select if affiliate needs library access



Please print and have the department head and the department head's supervisor sign and keep this form on file in the department. You may then submit this form to Payroll and HR by clicking the submit button at the bottom of the form. Affiliate status will be activated within seven business days, pending the results of the criminal background check, should one be required. If a background check is required please notify the affiliate that they will receive an email from Truescreen to initiate the background check. 

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