Student Employment Form Page 1
The College of William and Mary
All combined student employment is limited to no more than 20 hours per week during the school year.
Green=May be Optional
Depending upon specific needs
Employer
For additional information or help access the Student Employment Form Instructions
Part I To be completed by the student or departmental representative
Date
Banner ID
WM
Last Name
VM
First Name
Type of Student (refer to instructions)
Local Mailing
Address
Permanent Address
Middle
If undergraduate hourly: send to SFA
If position is salaried: send to HR
Telephone
Undergraduate
Undergraduate Hourly
Telephone
If yes which department?
Are you currently employed with another department on campus?
Type of Work (refer to instructions)
Yes
No
Student Undergraduate Hourly Employment (SFA - ST positions Only - 611440)
Student Undergraduate Hourly Employment (HR - Not an ST position - 611440)
International Students: Are you on a J1 or F1 visa?
YES
Selective Service Registration (Males only)
Are you required to apply for Selective Service?
Type of Action (refer to instructions)
Yes
NO
Note: You must be registered before beginning employment.
No
Hrly Rate of Pay
If yes are you registered?
Action Requested
Semi-Monthly Amt
Num of Pays
Total Salaried Amt
Start Date
Requested Check Date
ST001L-00
Timesheet Org#
No
8.50
New Hire
Rehire/Extending
Position Number
Yes
Assignment Information - must be completed or form will be returned
Role Title/Internal Title
Steer Clear Driver
Timesheet Department
2D1000
Student Leadership Development
Supervisor's Name
Anita Forrest
End Date
Location
Campus Center
Supervisor's Position #
0013L-00
Timesheet Approver's Name
Timesheet Appr's Pos #
Anita Forrest
00013L-00
Description of Duties for Hourly Employees
Driving Steer Clear Van
Additional Information/Special Notes
Separation Information
Last Day of Work
Separation Reason
Labor Distribution
Index
Activity
Account
1Y0495
Percentage
Amount
100
Approvals (where applicable)
Funding Approvals based on Source of Funds(where applicable)
Phone
Email
1. Student Signature
Date
2. Supervisor/ApproverPI
Date
3. Department Head
Date
Phone
757-221-3271
6. Sponsored Programs(If index=7XXXXX)
4. Graduate Office
Date
7. Investment Administration (If Index=811008)
Date
5. Dean/Vice President/ VIMS ADAS
Date
8. Finance/Budget
Date
I-9
SFA
HR
If your finished form prints “select one” it needs to be completed before turning in!
Email
[email protected]
Date
Banner
Revised 03/14