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Staff Action Form (SAF) Supplement
Human Resources

First name Required

Middle name

Last name Required

Department Required

CalPERS Membership

The California State University has contracted with the California Public Employees' Retirement System (CalPERS) to provide an employee benefit package which includes service retirement, death, and disability benefits.

Are you a current CalPers member by previous employment (either you have funds on deposit or service credit)? Required

Yes

Degree Information

Highest level of education COMPLETED Required (i.e. High School, AA/AS, BA/BS, MA/MS, PhD)

Name of institution Required (where degree was obtained)

Major Required

For multiple majors, separate additional entries with a semicolon (;)

State or country Required (where degree was completed)

Month/Year Degree Was Received

Month Required

Year Required

Staff Action Form (SAF) SupplementHuman Resources

CalPERS Membership

Degree Information

Month/Year Degree Was Received

Staff Action Form (SAF) Supplement
Human Resources