Departmental HR representatives should use this form to register newly eligible faculty to attend orientation. Please register faculty as soon as possible so that they have ample time to enroll in benefits within the first 30 days of starting work. Virtual orientations will be held on the dates and times listed below. If you have a faculty member who is newly eligible for benefits, please complete the form below and Duke Benefits will be in touch with you approximately 2 weeks in advance of orientation to provide you with meeting details for the webinar.

Note: This form is for faculty members only who are newly eligible for benefits. If the employee is already benefits eligible and is transferring into a faculty position the employee does NOT need to attend orientation.

Please fill out the form completely.

Preferred Orientation Date (must be within 30 days of hire/eligibility date)	Thursday, May 6, 2021 - 11 a.m. Wednesday, May 19, 2021 - 2 p.m. Thursday, June 3, 2021 - 11 a.m. Wednesday, June 16, 2021 - 2 p.m. Thursday, July 1, 2021 - 11 a.m. Wednesday, July 7, 2021 - 2 p.m. Thursday, July 15, 2021 - 11 a.m. Wednesday, July 21, 2021 - 2 p.m. Thursday, July 29, 2021 - 11 a.m. Thursday, August 5, 2021 - 11 a.m. Wednesday, August 11, 2021 - 2 p.m. Wednesday, August 18, 2021 - 2 p.m. Thursday, August 26, 2021 - 11 a.m. Thursday, September 2, 2021 - 11 a.m.
ALL FIELDS MUST BE COMPLETED
Faculty First Name
Faculty Last Name
Duke Unique ID (if available)
Department Name
Faculty Email Address (if available)
Hours Worked/Week
Weeks Worked/Year
Hire/Eligibility Date
Job Code (4-digit #)
Pay Point (Org Key)
PDC Faculty Member?	Yes No
Will your spouse be attending?	Yes No
Department HR Rep's Name
Department HR Rep's Email Address
After you submit this form you will receive an email confirmation indicating the date and time of the faculty orientation. Meeting details will be sent 2 weeks in advance.