On/Offboarding Intake Form

If you have multiple employees to input, simply hit the "back" button on your browser after you hit submit.

 
 

Is the student a Federal Work Study or Self-Help Student?

 
 

If this student has multiple HCODES, please submit multiple forms.   

 

Please add student's full banner starting with "B".

 
 
 
 
 
 

If this student has multiple HCODES, please submit multiple forms.

 
 

The preferred start date is not guaranteed until the student's status is "Completed" on this sheet.

 
mm/dd/yyyy
 

Please write a justification for any pay rate that is a raise or uncommon for that HCODE.

 
 
 
 
 
 

Access to vehicles will only be granted once the employee is on the University's approved driver's list. You must upload a copy of the front AND back of the employee's 1 Card below.

 
 

Any comments you wish to add?