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Summer 2024 Student Employment Hiring Form
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Employee Information
First Name:
Last Name:
JCU ID:
Cell Number:
Email Address:
Class (Fall 2024):
Class (Fall 2024):
Freshman
Sophomore
Junior
Senior
Grad Student
Is employee a U.S. citizen?
Is employee a U.S. citizen?
Yes
No
Has employee previously worked on campus?
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?
Yes
No
Stipend Amount
Beginning Date of Stipend
Beginning Date of Stipend
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Ending Date of Stipend
Ending Date of Stipend
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Stipends will be evenly distributed based on the student payroll schedule.
Pay Rate:
$10.45/hr (new student)
Other
Other Pay Rate:
Note: Pay rates above $10.45/hr must be approved in advance by the division VP and the business office or they will not be processed.
Supervisor Signature:
Date:
Date:
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Submit