Please use this form as notification to the Office Human Resources of:

  • Individuals providing services to the university without compensation, or...

  • Individuals providing a program, activity or service to the university on university property compensated by a university affiliate, not through IUP Payroll Services

Background clearances are required for those who services involve the care, supervision, guidance, or control of minors, as determined by the Office Human Resources. The background clearances process will be initiated based on responses to this form for those whose clearances are tracked and stored by the Office of Human Resources.