DESK RECEPTIONIST

MANUAL

2012-2013

East Stroudsburg University A PENNSYLVANIA STATE SYSTEM OF HIGHER EDUCATION UNIVERSITY

As a Desk Receptionist,

you are the first and last

person seen by residents

and visitors as they travel

through the building. Do

not minimize the impact

you and your job

performance have on

residents and visitors.

DESK RECEPTIONIST

MANUAL

TABLE OF CONTENTS

Page

I. Attitude and Appearance 2

II. Confidentiality Statement 2

III. Maintaining a Working Knowledge of the Desk

-- Reception, Administrative, Security 3

IV. Desk Receptionists – Individual Responsibilities 6

V. Special Desk Receptionists 6

VI. Payroll Information 7

VII. Emergencies: Who – What – When 7

VIII. Residence Hall Security (Alarmed Doors) 9

IX. Student Questions: Where to Get Answers 10

X Emergency Phone Numbers Inside Back Cover

Appendix A Confidentiality Statement

(“Statement of Understanding of Privacy Act Provisions”)

Appendix B Student Worker E-time Information Sheet

Appendix C Student Pay Schedule

Appendix D Procedures for setting up front desk Computer Terminal

Appendix E Direct Deposit Authorization form

1

I. ATTITUDE AND APPEARANCE

Your role as a Desk Receptionist has two functions with respect to University rules and

regulations. While working at the desk, it is essential that you respond to all violations of

University policy according to established procedures. While off duty, your

responsibilities are the same as that of any student on campus. You should be supportive

and available to provide assistance to any residence life staff member.

The Desk Receptionist is vital to the efficient and effective functioning of a residence

building. Desk Receptionists are employees of the Residence Life & Housing

Department and as staff employees their appearance, attitude, enthusiasm, and interest are

important factors. (Shirts with alcohol or other drug messages may not be worn to work.)

Casual but, professional attire must be worn.

You are the first person people meet when they enter the hall. Remember, first

impressions are important.

A positive attitude is necessary if you are going to be successful at your job. A Desk

Receptionist who displays a patient and helpful attitude will project a positive image to

others. Being alert and exhibiting good posture are important. Look directly at people

and address them when they enter the building. Do not prop your feet on the desk or be

anywhere but in the reception area. You are to refrain from using vulgar, foul or

derogatory language. Laptops and i-pods are permitted only with the approval of your

supervisor. Cell phone use for personal calls is not permitted while on duty.

A well-organized reception area is important. Familiarize yourself with the entire lobby

area, desk materials and emergency telephone numbers. If a situation arises where you

need immediate assistance, call a Resident Advisor (RA) for help. KNOW WHICH RA

IS ON DUTY AND HOW TO CONTACT HIM OR HER AT ALL TIMES. A “duty”

RA is available from 7:00 PM – 7:00 AM Sunday through Thursday, and starting at 7:00

PM Friday straight through until 7:00 PM on Sunday evening.

II. CONFIDENTIALITY STATEMENT

Please SIGN and RETURN to your supervisor the “Statement of Understanding of

Privacy Act Provisions” (See Appendix A). This statement “binds” the Desk

Receptionist to the Privacy Act of 1974. There may be instances when you will overhear,

notice, and/or have access to information that is “individually identifiable”. Disclosure of

any information of this type could subject you to criminal and civil penalties, or, at the

very least be cause for termination from the Desk Receptionist position.

As an employee of the Residence Life & Housing Department, you will be privy to

information which is not public and must be kept confidential, such as disciplinary

reports, police reports, grade reports, etc. This responsibility is very important and must

not be taken lightly.

2

III. MAINTAINING A WORKING KNOWLEDGE OF THE DESK

The following information will give you a working knowledge of desk policies and

procedures. The list is not all-inclusive since you may be assigned other duties or

responsibilities by the Resident Director or Graduate Assistant of the building. These are

our expectations of you. Know them and if you have questions, ask your supervisor.

The Desk Receptionist serves three basic functions: reception, administration and

security.

A. As a RECEPTIONIST, you are expected to:

1) Maintain a business-like attitude. Remember, you are representing the

University. Greet people in a courteous and friendly manner.

2) Cover the desk at all times. Do not leave the desk area unless it is

absolutely necessary! “Absolutely necessary” does not mean getting

something to eat, going back to your room for something you might have

forgotten, or doing laundry. You may leave your shift early only if you

have a scheduled class. Speak with your supervisor to see how early you

may leave.

3) Answer the telephone by saying:

a) the name of the building;

b) your name;

c) and “How may I help you?”

4) Under no circumstances should you give out information concerning

the student’s room number; you may only give out the phone

numbers for their room.

5) Likewise, you should not make personal calls on your cell phone while

working at the desk.

6) All emergency phone numbers are posted near the phone. There is always

an RA “on duty” after 7:00 PM (24 hours on the weekends); he/she should

be contacted immediately if problems arise.

7) Assume charge of the Public Address system when appropriate. Only the

Desk Receptionist or another staff member is permitted to use the system.

At no time should anyone else be permitted to use the PA system. General

announcements must be approved beforehand by the Resident Director,

Graduate Assistant or RA on duty. Do not make announcements unless

they have been approved.

3

8) Solicitation of any kind must be approved by the Residence Life Office in

Hemlock Suites. This includes the sale of food, tickets, and anything else

various campus organizations may sell. If the organization does not

have a Solicitation/Concession Permit, they may not have been

granted permission to solicit and should be asked to leave. Under no

circumstances will “door to door” solicitations be permitted. Call the

RA on duty or University Police if problems arise.

9) Act as the center of building communications – make visitors feel

comfortable and welcome.

10) Act as a resource person:

a) Be familiar with the facilities and the staff (housekeeping

and RA).

b) Be familiar with residence life and University policies.

c) Be familiar with campus resources and offices.

B. ADMINISTRATIVE FUNCTIONS include the following:

1) Assist in the opening and closing of the residence buildings;

2) Treat all papers, folders, forms and equipment as confidential material

since the desk may be used by both the student and professional staff;

3) Become familiar with the Resident Director’s/Graduate Assistant’s

schedule so that you know how to contact him/her. Please make sure you

know which RA is on duty during the evening and weekend shifts;

4) Sign-out equipment to residents of the hall. All returned equipment

should be checked for damage. (Only ESU students with a current

ID/e-card is allowed to sign out equipment) The Desk Receptionist

must initial all sign-ins and outs;

5) Only authorized persons are permitted behind the desk. A Desk

Receptionist may have ONE guest while on duty. The Desk Receptionist

is responsible for the behavior of his/her guest and should be aware that

the desk area is NOT the place for sleeping, playing cards, partying, foul

language or any other loud and disruptive behavior;

6) Assist the Resident Director or Graduate Assistant in the areas of filing,

running errands, and other administrative duties as assigned.

7) MAIL – In each building, it is the responsibility of the hall supervisor or

ONE designated desk person to distribute the mail. Bulk mail distribution

must be cleared through the Director of Residence Life & Housing.

4

8) There are snack, beverage, laundry, and vending machines in each hall.

Refunds may be obtained at the Campus Card Center. Do not allow

anyone to abuse these machines.

C. As part of your desk responsibilities, you also will serve a SECURITY

FUNCTION. This includes the following areas of responsibility:

1) Enforce the VISITATION POLICY:

Monday through Friday – 10 AM until 1 AM.

Weekends – Friday 10 AM – Monday 1 AM.

Non-ESU students must sign-in and leave a valid Photo ID at the desk. ESU students must swipe their e-card at the front

desk. (See “Procedures for setting up front desk computer

terminal”, Appendix D)

Visitors must be escorted at all times throughout the building.

Unescorted non-residents are not permitted access to the living

areas. All non-residents must leave the building at the end of

visitation hours. If a non-resident has been asked to stop at the

desk to call the person whom they are visiting and he/she

refuses, the RA on duty should be contacted at once.

Remember, you are only permitted to give out phone numbers

for the room since visitors must be escorted to the student’s

room.

2) PROBLEMS AT THE DESK – Contact the following people, in the

order listed below, if you cannot handle a situation (i.e., policy violations,

abusive students, etc.):

a) RA on duty;

b) Any RA in the building;

c) Resident Director or Graduate Assistant in building;

d) Any Residence Life & Housing professional staff member;

e) University Police at x2000 for emergencies or x 3063 for

general assistance.

3) Keep an eye on activity in the lobby area. If the behavior of students is in

violation of University policy, report it to the RA on duty, (e.g., students

damaging vending machines, students fighting, etc.).

4) Enforce the exterior smoking policy.

5

Visitation hours will be canceled when the front desk is not staffed.

Announcements should be made and appropriate signs posted.

**Note: Failure to follow any of these guidelines will result in your termination

from the desk job.

IV. DESK RECEPTIONISTS – INDIVIDUAL RESPONSIBILITIES

There are some responsibilities that are not “mechanical” in nature. They include such

things as attending meetings, reporting on time for shifts, exhibiting role model behavior,

maintaining confidentiality, and dealing with rumors or misinformation appropriately.

SHIFTS – Be PROMPT in arriving for your assigned hours. When you are unable to

work your assigned hours, it is your responsibility to make sure the shift is covered.

You only may ask another Desk Receptionist from your building to work for you. If no

one is available, then inform the Resident Director or Graduate Assistant. You cannot

have anyone work for you, or even temporarily take your place, if they are not a Desk

Receptionist. If the desk worker following you does not show up, you should try to call

that person; if you cannot reach him/her, notify the RA on duty of the situation. The RA

on duty is required to cover the desk when a desk worker fails to show up for work.

Enter your e-time for each shift you work after it is completed. Indicate the correct time

that you worked, if you have permission to leave early. DO NOT enter your shift times

before you have worked the shift. (See Worker E-Time Information Sheet in Appendix

B.) Falsification of hours is grounds for dismissal. You are paid only for time YOU

work. (You may NOT work someone else’s hours and have them pay you.) After your

shift, be sure that the office area is in order and the office door is shut and locked, if

appropriate.

NOTE: It is suggested that desk receptionists work 10 hours a week.

MEETINGS – Periodically your staff will have meetings to schedule hours and to discuss

any problems or concerns that have come up. ATTEND THE MEETINGS. Missing a

meeting without an approved excuse is the same as missing a shift.

DESK RECEPTIONISTS AND THE RUMOR MILL – The rumor mill feeds on half-

truths, statements taken out of context and incomplete information. It is a harmful and

dangerous form of communication. As a Desk Receptionist, part of your job is to

communicate accurate information. If you are not sure about information, do not pass it

on. Check it out with your Resident Director or Graduate Assistant. (Rumors are easily

spotted in that they begin with statements like, “I heard that…” or “They say that…”

Please be cautious and think twice about the consequences of passing along inaccurate

information.)

V. SPECIAL DESK RECEPTIONISTS

The Special Desk Receptionists serve the same three basic functions as the regular desk

workers – reception, administration and security. In addition, Special Desk

Receptionists must swipe their e-card at the desk four times during their assigned

shift. A log of these swipes is sent to your supervisor by the Campus Card Center.

6

Special Desk Receptionists are assigned to work the following weekend shifts:

Friday – Saturday 12 Midnight to 8 AM

Saturday – Sunday 12 Midnight to 8 AM

They are assigned an average of two weekends per month for a total of 32 hours/month at

a rate of $9.00 per hour. Because of the higher rate of pay, Special Desk Receptionists

cannot substitute or be utilized to work any other shifts.

NOTE: At 7:45 AM the special desk workers should call the regular desk workers

scheduled to replace them to make sure they are awake and ready to work at 8:00 AM.

VI. PAYROLL INFORMATION

A. All student employees are given a specified number of hours for the academic

year (usually 270 – 300 hours). The number of hours is indicated on your

Financial Aid Notification Letter. It is your responsibility to make sure you do

not work more than the hours allotted.

B. It is the sole responsibility of each student employee, not his or her immediate

supervisor, to enter his or her own hours worked on the e-time system. If the

student fails to do so, zero hours will be reported to the Payroll Office. This could

delay your paycheck up to 2-4 weeks.

C. Desk Receptionists must utilize direct deposit through the payroll department (See

Appendix E). Please complete the Direct Deposit Authorization form and submit

it to the Student Payroll Office in Reibman, G-1. The payment dates are listed on

the Student Pay Schedule located (see Appendix C).

D. Paychecks are two weeks behind the time you submit the hours you have worked.

If you notice any problems or discrepancies, please speak with your supervisor.

VII. EMERGENCIES: WHO – WHAT – WHEN

There will be times when emergency situations will arise while you are working. Calm

thinking and quick action are important factors in dealing effectively with these

situations.

7

Listed below are some emergency situations that might occur:

A. FIRE ALARMS – When you are working the desk and a fire alarm

sounds, do not attempt to determine whether the alarm is real or false.

Merely close the office area and leave the building. Take ID box and hall

roster with you.

B. OBSCENE PHONE CALLS – Contact the Resident Director or Graduate

Assistant of your building.

C. LIFE THREATENING CALLS - Bomb Scares, etc.

1) Hang up telephone from life-threatening caller.

2) Contact University Police at (570) 422-2000 and notify

them of the life threatening call that was received.

D. USE OF UNIVERSITY POLICE EMERGENCY CALL BUTTON –

Each desk/office is equipped with a University Police call button, which

when pressed, silently sends a signal to the University Police. Be aware of

its location. When the University Police call button is used, University

Police will report to the building as quickly as possible.

E. MAINTENANCE EMERGENCIES – If you become aware of a

maintenance emergency, notify the Resident Director, Graduate Assistant,

RA, or custodian.

F. MEDICAL EMERGENCIES – TRANSPORTATION BY UNIVERSITY

POLICE – All medical emergencies should be directed to the University

Police at X2000. In cases of severe medical emergencies, the University

Police will call for an ambulance. University Police will not furnish

transportation to students for routine doctor appointments.

Report the situation to the RD, GA, or the RA, on duty as soon as

possible.

8

VIII. SECURITY (ALARMED DOORS)

In order to reduce the opportunity for unauthorized persons to gain access to the building,

alarms are installed on all exterior doors with exception of the main door/front entrance.

When a door alarm sounds:

1) Attempt to identify the student(s) or person(s) who caused the alarm to be

activated.

2) Turn off and then reset the alarm with the key that is available at the front

desk.

3) If the key cannot be located, ask the RA on duty for assistance. If the RA

cannot be contacted, ask the Resident Director or someone from the

Custodial Staff for assistance. As a last resort, contact University Police.

OPERATION "DESK CHECK" PROGRAM:

Undercover student workers will attempt to gain entry into your building. If they successfully

gain entrance past the front desk without you asking them for their ID, or without you enforcing

the escort policy, it will be reported to your supervisor. Two reports over the span of one

semester will result in your termination from the desk receptionist position.

9

STUDENT QUESTIONS: WHERE TO GET ANSWERS (570) 422 -

QUESTIONS WHERE & WHOM PHONE NO.

Absences from class Enrollment Services 2800

Academic Requirements Academic Advisor or

Undergraduate Catalog

Admissions Admissions Office 3542

Alcohol, Tobacco & Other Drugs Flagler-Metzgar Building 3430

Auto Registration University Police 3063/2000

Birth Control Planned Parenthood; 424-8306

Health Center 3553

Campus Events/Activities Student Activities Staff

University Center 3291

Campus Activities Board 3396

Career Services/Placement University Center, 2nd fl. 3219

Copy Machines Graphics Center 3376

Library 3465

Multilith 3422

Course Schedule Adjustment/ Academic Advisor or

Change of Major Enrollment Services 2800

Discipline Coordinator of Student Conduct 3461

Diversity & Equal Opportunity Danelle McClanahan, Reibman 3656

Drug Information Tri-County Drug & Alcohol

Program 421-1960

Employment - on-campus Enrollment Services 2800

Employment - off-campus Career Services 3219

Equipment/Audio-Visual Communications Center 3501

Fax Machine University Store 3663

Convenience Store

10

Fees, Tuition, Room & Board Enrollment Services 2800

Financial Aid Enrollment Services 2800

Food Service Dansbury Commons 3200

ARAMARK

Brian Crawford, Manager

Food Service Committee Dr. Nancy Weaver 3938

General Information Vice President for Student Affairs

Reibman 3463

Greek Affairs Office of Greek Affairs 3775

ID Cards/e.card Campus Card Center 2273

Ground floor, University Center (card)

Illness Health Center 3553

Maria Hackney, Director

Intercollegiate Athletics Dr. Tom Gioglio, Athletic Director

Koehler Fieldhouse 3642

International Student Michael Southwell

Documentation Continuing Education 2871

Library Information Library 3465

Lost and Found University Police 3063/2000

Maintenance Emergencies Housing Office (day) 3460

University Police (night) 3063/2000

National Student Exchange Michael Southwell

Programs & Study Abroad Continuing Education 2871

Orientation Patti Kashner,

Special Assistant, Enrollment Mgmt. 2863

Payment of Fines Enrollment Services 2800

Recreation Leagues Todd Bowyer 2977

Religious Counseling United Campus Ministry

Warren Anderson 3798

11

Residence Hall Association Jeter Smith 3123

Residence Life Kelly Weaber 3105

employment opportunities

Room Changes Resident Director Individual Buildings

Room Reservations Laurie Klingel,

within Residence Halls Shawnee Hall 3460

Scheduling Academic Advisor/Department

Chairperson

Scholarship & Loans Enrollment Services 2800

Student Insurance Student Affairs, Reibman 3463

Student Senate Office University Center 3417

Student Teaching Field Experience Office 3471

Stroud Courier University Center 3295

Theft/Damage/Assault University Police 3063/2000

Traffic - Parking Reg./Appeals University Police 3063/2000

Special Parking Permits Robert M. Moses 3191

Transcripts Enrollment Services 2800

Tutoring Services Learning Center, Rosenkrans East 3507

Vending Machines University Center 3291

Withdrawal from College Enrollment Services 2800

Withdrawal from Course Professor/Enrollment Services 2800

12

REMEMBER: WHEN IN DOUBT, CALL YOUR SUPERVISOR OR

UNIVERSITY POLICE (EXT. 2000).

EMERGENCY PHONE NUMBERS

Listing Office Phone No.

University Police (emergency) 422-2000

(non-emergency) 422-3064

Health Center 422-3553

Counseling and Psychological Services 422-3277

Pocono Medical Center 421-4000

EMERGENCY COMMUNICATIONS NETWORK

REMEMBER: IF THE SITUATION WARRANTS, UNIVERSITY POLICE SHOULD BE CONTACTED IMMEDIATELY

ALONG WITH YOUR IMMEDIATE SUPERVISOR AND THE RA ON DUTY.

___________________________________________________________________________ __

Hawthorn Suites

Office 570-422-3105

Front Desk 570-422-3239

Hemlock Suites

Office 570-422-3592

Front Desk 570-422-3591

Laurel Hall

Office 570-422-3620

Front Desk 570-422-3238

Lenape Hall

Office 570-422-3581

Front Desk 570-422-3238

Linden Hall

Office 570-422-3123

Front Desk 570-422-3228

Minsi Hall

Office 570-422-3729

Front Desk 570-422-3227

Shawnee Hall

Office 570-422-3696

Front Desk 570-422-3462

University Apartments

Office 570-422-2200

APPENDIX

A

STATEMENT OF UNDERSTANDING OF PRIVACY ACT

PROVISIONS

I understand that by virtue of my employment with the East Stroudsburg

University Residence Life Department I may have access to records which

contain individually identifiable information, the disclosure of which is

prohibited by the Privacy Act of 1974. I acknowledge that I fully understand

that the willful or intentional disclosure by me of this information to any

unauthorized persons also violates the school’s policy and could constitute

just cause for disciplinary action, including termination of my employment,

regardless of whether criminal or civil penalties are imposed.

Date Employee’s Signature

COMPLETE AND RETURN TO YOUR SUPERVISOR.

B

Student Worker E-Time Information Sheet

1. CREATE A PASSWORD …………….

Go to www.esu.edu /Academic Computing/Student Password Change

Password MUST be 8 characters AND MUST have upper case, lower case, number and symbol (4 of those 4).

If you have any problems creating or remembering your password contact, the HELP DESK at 3789.

Remember your password needs to be reset every 90 days.

2. LOG INTO E-TIME PORTAL ………… o https://portal.passhe.edu/irj/portal enter your

username = your initials and the last four digits of your e-card followed by @esu.passhe.lcl (i.e. mgg1234@esu.passhe.lcl).

o Complete instructions on how to use e-time can be found by clicking on the HELP button on the right of the screen.

ALSO o Use your settings tab to send e-mail reminders to

enter and sign time before the deadlines. You can set default for start time and starting hour dropdown.

C EAST STROUDSBURG UNIVERSITY

2012/2013 E-Time Processing Schedule

Pay

Number

Pay Period

Beginning

Saturday

Pay Period

Ending

Friday

Student MUST

ENTER Time

and SIGN by

1159 pm

FRIDAY

Timekeeper

MUST

Approve by

1200 noon

MONDAY Pay Date

19 08/25/12 09/07/12 09/07/12 09/10/12 09/21/12

20 09/08/12 09/21/12 09/21/12 09/24/12 10/05/12

21 09/22/12 10/05/12 10/05/12 10/08/12 10/19/12

22 10/06/12 10/19/12 10/19/12 10/22/12 11/02/12

23 10/20/12 11/02/12 11/02/12 11/05/12 11/16/12

24 11/03/12 11/16/12 11/16/12 11/19/12 11/30/12

25 11/17/12 11/30/12 11/30/12 12/03/12 12/14/12

26 12/01/12 12/14/12 12/14/12 12/17/12 12/28/12

1 12/15/12 12/28/12 12/28/12 12/31/12 01/11/13

2 12/29/12 01/11/13 01/11/13 01/14/13 01/25/13

3 01/12/13 01/25/13 01/25/13 01/28/13 02/08/13

4 01/26/13 02/08/13 02/08/13 02/11/13 02/22/13

5 02/09/13 02/22/13 02/22/13 02/25/13 03/08/13

6 02/23/13 03/08/13 03/08/13 03/11/13 03/22/13

7 03/09/13 03/22/13 03/22/13 03/25/13 04/05/13

8 03/23/13 04/05/13 04/05/13 04/08/13 04/19/13

9 04/06/13 04/19/13 04/19/13 04/22/13 05/03/13

10 04/20/13 05/03/13 05/03/13 05/06/13 05/17/13

11 05/04/13 05/17/13 05/17/13 05/20/13 05/31/13

12 05/18/13 05/31/13 05/31/13 06/03/13 06/14/13

13 06/01/13 06/14/13 06/14/13 06/17/13 06/28/13

14 06/15/13 06/28/13 06/28/13 07/01/13 07/12/13

15 06/29/13 07/12/13 07/12/13 07/15/13 07/26/13

16 07/13/13 07/26/13 07/26/13 07/29/13 08/09/13

17 07/27/13 08/09/13 08/09/13 08/12/13 08/23/13

18 08/10/13 08/23/13 08/23/13 08/26/13 09/06/13

D

Procedure for Starting Desk Computer in Traditional Halls

Plug computer cable (thicker cable) into blue jack marked “lobby”

Plug swipe cable into green jack marked “ecard”

Plug power cables into the electrical outlets

1. Turn on PC

2. Windows Login: “swipe”; Password: “swipeithere” (no spaces) and press enter

3. Double Click “TMON 64” icon

4. Enter Operator ID & Password, hit enter

5. Click “OK”

6. Go to “File” and Select “(hall name) interior swipe access”, double-click to open

Procedure for Starting Desk Computer in the Suites 1. Plug swipe cable into green jack marked “ecard”

2. Plug power cables into the electrical outlets

3. Turn on PC

4. Windows Login: “swipe”; Password: “swipeithere” (no spaces) and press enter

5. Click on Start

6. Go to My Computer

7. Double Click “gmc on ‘onecardsvr’”

8. Click on “X” to close program

9. Double click on the Desktop Icon “(your building name)”

7. Enter Operator ID & Password, hit enter

8. Click File

a. Select Terminal

b. Click Lobby

12. Repeat step 9 but click “Corridor” instead.

To Power Down PC:

1. Go to top right corner and click on the “X” to close the program

2. Answer “Yes”

3. Answer “OK”

4. Go to Start menu and Shut Down Computer

5. Unplug all cables and power cords

6. Store in designated location

If you have any questions or problems, please contact the Campus Card Center at X2273

E

DIRECT DEPOSIT AUTHORIZATION

Name: _____________________________ Personnel Number: ________

I hereby authorize the State System of Higher Education to (check one)

_____ Start

_____ Change

_____ Stop total bi-weekly payroll deduction to the Financial Institution

shown below. You may designate any, bank and savings and loan

association or credit union in the U.S. that (1) is a member of the Federal

Reserve System and (2) accepts electronic fund transfers. Payroll will notify

you if the institution you choose does not qualify.

Financial Institution’s Name: _____________________________

Transit Routing Number: ________________________________ (if you are unsure of this number contact your financial institution)

Account Number: _____________________ Checking or Savings

Deduction Amount: ____________________ (Dollar Amount)

Effective with pay date of: _____________________________

I have an established account at the Financial Institution indicated above, and authorize

the State System of Higher Education to initiate credit entries and to initiate d3ebit entries

and voided check (see attached) solely for the purpose of verifying my account number

and the Financial Institution’s routing number. My authorization will remain in effect

until revoked by me in writing or I terminate my employment with the State System of

Higher Education.

Date: _______________________ Signature: _______________________

Co-Signature (If Joint Account) __________________________________

COMPLETE AND RETURN TO THE STUDENT PAYROLL OFFICE, REIBMAN G-1.