Orientation
The orientation presentation will be conducted at 9am in the Human Resources office located in the Sutton Administration Building on the 3rd Floor, Suite 322. If an in-person meeting is not possible; orientation will be made available through Zoom. It will be the 1st and 15th of each month unless, the assigned dates fall on holiday/weekend then orientation will be on the next scheduled workday.
New Hire Onboarding Enrollment Forms/Documents
Please remember, enrollment applications are required for Public Employees’ Retirement System of MS or Optional Retirement Plan (ORP), State and School Employees’ Health Plan, and State Life (Minnesota Life). Please note that all benefit forms must be completed and you must indicate that you have waived the coverage. Please print all forms and bring completed to your scheduled orientation session.
Benefit Enrollment Forms
- Public Employees’ Retirement System of Mississippi Membership Application (PERS)
- Public Employees' Retirement System of Mississippi Beneficiary Designation Form
- Optional Retirement Plan (ORP) - (Please know that not all positions are eligible to participate in the ORP)
- 403 (b) Deferral and Investment Election Agreement
- 403 (b) Plan Universal Availability Notice
- BCBS State And School Employees’ Health Insurance Plan
- State and School Employees’ Life Insurance Plan
- Eye Med Vision Care Enrollment/Change Form
- Delta Dental Enrollment/Change Form
- MVSU Summary of Benefits
Please Complete All Additional Tasks Below:
- Employee contributions toward cafeteria-plan benefits are made pre-taxed.
- Employer contributions toward an employee’s cafeteria-plan benefits are not taxed
- Mississippi Valley State University Benefit Deduction Form.
- Employment Eligibility Verification Form (I-9)
- Email Account Request Form
Demographic Information
Policies and Procedures Handbook, and Required acknowledgement Documents
- New Hire Introductory Information CommuniQué
- Employee Handbook (please read before signing the Probationary Period Verification of Receipt)
- Mississippi Valley State University Employee Personnel Handbook/Probationary Period Verification of Receipt
- Drug-Free Workplace Acknowledgement
- MISS. CODE ANN. § 625-1-113 EMPLOYEE CERTIFICATION AND AUTHORIZATION STATEMENT
- Vietnam ERA and Special Disabled Veterans Identification Invitation
Mississippi Valley State University Onboarding Policies
- Direct Deposit of Pay Policy and Agreement Form (A verification document from your Banking Institution is required.)
- Sexual Harassment Policy and Sexual Harassment Verification of Receipt
- Americans With Disabilities Act (ADA)
Executive Orders for State Employees
Tax Forms
- W-4 Employment Withholding Allowance Certificate
- Mississippi Employee's Withholding Exemption Certificate - Form 89-350
Please print all forms and bring completed to your scheduled orientation session.
Additionally, please be sure to bring:
- proof that you are presently eligible to work in the United States for I-9 purposes (see attached list of acceptable documents in the orientation packet); and
- social security number and date of birth for dependents who will be covered under any insurance plan or for anyone who will be listed as a beneficiary for state retirement or life insurance.
We look forward to meeting you!
For information in regards to the available Benefits Programs please visit the links below.
- 2021 Universal Notice Form
- 403(b) Enrollment Form
- AFLAC/AFLAC Group
- American Fidelity
- Ameritas Dental
- Download the PDF file for more information, please click here
- Blue Cross Blue Shield of MS
- Download the PDF file for more information on rates, please click here
- Download the PDF file for more information on plan summary, please click here
- Delta Dental
- Download the PDF file for more information, please click here
- EyeMed Vision
- Download the PDF file for more information, please click here
- Flexible Spending Accounts
- Minnesota Life Insurance
- Download the PDF file for more information, please click here
- Transamerica Life Insurance