20-21 Graduate Assistant Requisition Form Academic*
Position Information: New Position Existing Position
Replacement Position Change/ Correction
Length of Service: 1 Year 2 Year Other (Specify)
Position Title: Department:
Requested By: Telephone:
(If there are issues with your GA paperwork, this would be SFA’s contact)
Name of Supervisor: Telephone:
Employment Contract Period: Start Date: _____________ End Date: ____________________________
(Contract Dates anytime between 7/1/20 and 6/30/21)
Compensation Package
GA compensation is based on a $15/hour pay rate. However, an adjustment to the compensation package can be
made with a recommended rate between $13 and $18/hour. Recommended compensation for Meal Plans is $100
per month.
Research/Teaching Assistants: (i.e. Physical Therapy, Occupational Therapy, Criminal Justice, Speech
Language Pathology, Communications, Media Studies)
Recommended Hours: 15-20/week
Recommended Compensation: $5,400 Tuition Waiver per year
Tuition Waiver: $ Stipend: $ Meal Plan: $
Other: List the number of hours per week:
Recommended Hours: 15-20/week.
Recommended Compensation: $15/per hour
Tuition Waiver: $ Stipend: $ Meal Plan: $
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Total Anticipated Expenditures for Position: $
Account Number (GL Number): #
Order of Signatures
GA Coordinator, SFA: Date:
Divisional Budget Director:
Date:
Supervisor:
Date:
Senior VP:
Date:
Business Office:
Date:
GA Coordinator, SFA: Date:
If the requisition is a “new requisition” please follow signing authorization limits posted on the Business Office
intranet site under Helpful Resources (Access through MySHU) at Business Office Helpful Resources.
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20-21 Graduate Assistant Requisition Form Administrative*
Position Information: New Position Existing Position
Replacement Position Change/ Correction
Length of Service: 1 Year 2 Year Other (Specify)
Position Title: Department:
Requested By: Telephone:
(If there are issues with your GA paperwork, this would be SFA’s contact)
Name of Supervisor: Telephone:
Employment Contract Period: Start Date: End Date:
(Contract Dates anytime between 7/1/19 and 6/30/20)
Compensation Package
GA compensation is based on a $15/hour pay rate. However, an adjustment to the compensation package can be
made with a recommended rate between $13 and $18/hour. Recommended compensation for Meal Plans is $100
per month.
Research/Teaching Assistants: (i.e. Physical Therapy, Occupational Therapy, Criminal Justice, Speech
Language Pathology, Communications, Media Studies)
Recommended Hours: 15-20/week
Recommended Compensation: $5,400 Tuition Waiver per year
Tuition Waiver: $ Stipend: $ Meal Plan: $
Other: List the number of hours per week:
Recommended Hours: 15-20/week
Recommended Compensation: $15/per hour
Tuition Waiver: $ Stipend: $ Meal Plan: $
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Date:
Date:
Date:
Date:
Date:
Total Anticipated Expenditures for Position: $
Account Number (GL Number): #
Order of Signatures
GA Coordinator, SFA:
Divisional Budget Director:
Supervisor:
Dean or VP:
Business Office:
GA Coordinator, SFA: Date:
If the requisition is a “new requisition” please follow signing authorization limits posted on the Business Office
intranet site under Helpful Resources (Access through MySHU) at Business Office Helpful Resources.
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