Research, Innovation & Impact Student Hire Request Form

Student may NOT begin working until hire is fully approved by RII HR

RII HR will notify requestor and supervisor

Submission Date*

Submitted By*

Submitter Email*

Hiring Department*

Select

Student Group Type*

STUDENT WORKER JOB CLASSIFICATIONS

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Student Group B $14.70 to $15.50

Student Group C $14.70 to $22.50

Student Group D $14.70 to $28.00

Select

Student's Name*

Student's UA Email*

Student's ID#*

Start Date*

Please select a start date at least 1 week from submission date, to allow for processing and new hire activities.

Preferably Monday, and no later than Wednesday of a pay close week.

End Date

Position Title (Optional)

Hourly Rate of Pay*

STUDENT WORKER PAY

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Student Group B $14.70 to $15.50

Student Group C $14.70 to $22.50

Student Group D $14.70 to $28.00

Hours per Week or FTE*

ALLOWABLE WORK HOURS FOR STUDENT WORKERS

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Supervisor Name*

Supervisor Email*

Time Approver Name*

Time Approver Email*

Work Location Building and Room#*

Position Funding Account(s)/Distribution Split*

Funding Confirmation*

Have you confirmed budget with your assigned account manager?

Select

Federal Work Study?

Select

Federal Work Study File Upload*

Drag and drop files here or

Performing security sensitive functions as defined*

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If this position requires unsupervised contact with minors, please provide description of the duties in the field provided.*

Working in a laboratory setting*

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Export Control*

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Approved by Department Hiring Authority Name*

Hiring authority varies by department for student employees, please check with your management to determine who that is for your area.