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Student Employee Request Form

  • Date Format: MM slash DD slash YYYY

  • If student employee needs an .edu account or any other special privilege, you are responsible for submitting a stat ticket to IT with the following information:

    • Name
    • Student ID#
    • Building/Office Keys
    • Computer
    • Software/Network Access
    • Phone

    Note: This form is to be completed at the beginning of employment and/or the beginning of each academic year.

  • By initialing below, I acknowledge my understanding that I am responsible for managing and verifying student worker tasks, hours and employment. Additionally, I acknowledge responsibility for providing meaningful work for any and all students who hold positions within my department. I understand that failure to provide any of the above may result in disciplinary action up to and including my termination of employment.

  • Date Format: MM slash DD slash YYYY