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

mm/dd/yyyy

Submitted By

Submitter Email

Hiring Department

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

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.

mm/dd/yyyy

End Date

mm/dd/yyyy

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?

Federal Work Study?

Performing security sensitive functions as defined

Working in a laboratory setting

Export Control

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.