The Division of Human Resources and Printing Services provides this service to you to help communicate events throughout the University.

***Effective September 1 2006: Mailing labels will be printed at Printing Services at a cost of 3 cents per label. Payment must be made prior to, or upon delivery, of the labels to Printing Services by credit card.***

Please understand that Human Resources must take every precaution to ensure that users of the Human Resources data are valid members of the University community and, that the mailing does not invade privacy or is against University or State policy. We reserve the right to deny requests which violate these standards. If your request is denied, you will be notified of the reason.

Normally, the labels will contain the most up to date information on adhesive address labels, each with the following data: Full name, Department name, and Complete office address (Street, PO Box, City, State, Postal code) sorted by PO Box number.

If you need a hard copy (printed list) of the labels information, you need to explicitly request it by selecting the option.

Any request with different characteristics is considered SPECIAL, therefore you need to fill out the  "Special Request" part at the bottom of this form.


Please completely fill out the following form. Please also note, unless you see a confirmation page after submitting your information, an error occurred and you should notify Stephanie Pendley Thank you!

Requestor:
First Name
Last Name
Campus Address, Phone:
Campus Address
P.O. Box
Campus Phone
FAX
E-mail
Date labels
are needed:		 (mm/dd/yyyy)
Less than
2 weeks,
please explain
Hard Copy of List? Yes No
# of label
copies needed?

Please build your labels by checking all the Distribution Groups that apply:
Major Administrators:
President's Cabinet
Academic Deans
Academic Chairpersons
Directors
Other Major Administrators (Non-Classified employees not Cabinet or Deans or Chairs or Directors)
Faculty:
Tenure Track Faculty (excluding Extension) (Benefit Eligible)
Tenure Track Faculty (Extension) (Benefit Eligible)
Extension Professionals (Non Tenure Track, Benefit Eligible)
Library Track Faculty (Non Tenure Track, Benefit Eligible)
Clinical Track Faculty (Non Tenure Track, Benefit Eligible)
FEAPs (Faculty Equivalent / Academic Professionals) (Non Tenure Track, Benefit Eligible)
Other Non Tenure Track Benefit Eligible Faculty
Non Tenure Track Non-Benefits Eligible (Part-time Lecturers, Instructors,Scientists, Artists, Researchers, Coaches)
Non-Faculty:
Classified - Administrators/Supervisors
Classified - Clerical
Classified - Service, Maintenance and Skilled Craft
Classified - Technical and Paraprofessional
Classified - Professional
Graduate Assistants
Post-Doctorate Staff
Medical/Dental Residents
Student Workers
Mountaineer Temps
Casual Workers
Employment Category:
Fulltime-Regular
Parttime-Regular
Fulltime-Temporary
Parttime-Temporary
Which Campus?
All (includes Regionals)
Morgantown Downtown and Evansdale
WVU-Tech
Morgantown Health Sciences
Potomac State
Charleston
WVU-Parkersburg
 
EBO: *

Request Justification: (what will the labels be used for?)

Special Request
Specific date of data other than current date? (i.e. 05/16/2012)
Please explain your request in detail, especially the pieces of data needed (i.e. Name, Title, Department name, etc), the sorting order, etc.:
If you need any assistance or have any questions concerning this form, please direct your questions to: HR_Admin@mail.wvu.edu