This form is to be used to request background clearances for the following groups only: non-credit instructors (paid by supplemental contract on IUP payroll); graduate assistants (not through the SGSR); teaching associates; and those paid by Co-Op payroll.
Personal E-mail Address
Banner ID (Be sure to include the @)
Select reason for background clearance
Graduate Assistant (not through the SGSR)
Co-Op Payroll - Staff
Co-Op Payroll - Student