Request to Hire Student or Instructional Student Assistant

PLEASE NOTE: STUDENTS MAY NOT BEGIN TO WORK UNTIL PAPERWORK

HAS BEEN SUBMITTED. ITS THE LAW.
Faculty Supervisors Name:

Date

Students Name:

SS#

Students ID #:

Students Email:

Students Phone:

Semester:

Job Assignment
Student Assistant:

Instructional Student Assistant:

Class Number:

Lab Section:

Research Lab Assistant (Project Name):

Description of Duties

Funding Source
Personal Budget Allocation: $
Foundation Account (provide account number):
Other Funding (specify):
Budgeted Expenditures
Pay Rate (hourly): $
Maximum Pay for Term: $
Maximum Hours for Term (max term pay/pay rate):
Start Date (after all paperwork finished + time to get SS#):
Supervisors ORIGINAL Signature:

Macintosh HD:Users:cmpe-staff:Downloads:Request to Hire Form-Fall 2014.doc

Rev 7/1/14