2023-2024 Student Employment Hiring Form

Employee Information

First Name:

Last Name:

JCU ID:

Cell Number:

Email Address:

Is employee a U.S. citizen?

Yes

No

Has employee previously worked on campus?

Yes

No

Department Information

Department Name:

Org #:

Supervisor First Name:

Supervisor Last Name:

Supervisor Email:

Supervisor Phone:

Handshake Job ID:

Is this a stipend position?

Stipend Amount

Beginning Date of Stipend

Ending Date of Stipend

Beginning Date of Job (please use 8/27/2023 if position starts at the beginning of the academic year)

Ending Date of Job (please use 5/11/2024 if position ends at the end of spring term)

Stipends will be evenly distributed based on the student payroll schedule.

Pay Rate:

Other Pay Rate:

Note: Pay rates above $10.45/hr must be approved in advance through the Student Employment Wage Approval Request form or they will not be processed.

Supervisor Signature:

Date: