Student Worker/UIA Employee Request Form : Department of Engineering Technology : Texas State University

Student employment with this department is contingent upon certain requirements. Hiring Faculty or Staff should complete this form. Upon completion, form will be emailed to Ashley Rich for further verification and processing. Graduate Assistant-ship hires require an offer letter issued by Ashley Rich.

Hiring Faculty/Staff *

First and Last name

Legal Name of Student Employee *

Last name, First name MI

Student Net ID *

Student ID *

A00....

Is student CURRENTLY or EVER been employed by Texas State ANYWHERE on campus? *

Not an assumption, please verify with student as this determines how they are hired.

If yes, when *

What department? *

For international students ONLY in F-1 status:

Does student have SSN? *

Department Starting Salary Pay:

Position	Plan Minimums	Maximum Salary
UIA	$14.00/hour	$17.00/hour
Student Worker	$12.00/hour	$15.00/hour

Please select one of the following options: *

Funding source/Account # *

Start Date: *

Allow minimum of 3 working days to complete the E-verify process

End Date: *

Pay rate: *

hourly

Hiring Justification *

What job will the student be performing?

Student Employment Policy

By selecting the box below: *

I confirm student employment eligibility prior to submitting this form.

If you happen to see this, do not fill this field.

captcha response, do not fill this field