SECTION 1: HIRING MANAGER (Once complete, please give this form to the student and send them to Career Services (LRC-510).
Student’s Full Name:
Student’s Z#:
Department Name:
Org. Code & Cost Center:
Phone Extension:
Student’s Job Title:
Starting Employment Date:
Ending Employment Date:
Hourly Pay Rate:
Supervisor’s Name (print)
Who will be approving hours in Kronos? (print name)
Supervisor’s Signature Date
SECTION 2: STUDENT (Bring this form to Career Services on LRC-510. If you’ve never worked on campus, please bring IDs for the I-9.)
□ Fall/Spring □ Summer
Have you completed registration? □ Yes □ No
Are you enrolled full-time? □ Yes □ No
Number of hours enrolled:
Are you a graduate student? □ Yes □ No
My work-study award is: □ Federal □ ORU Institutional The amount is: $
Are you an international student? □ Yes □ No
o If you checked yes, what is your I-20 expiration date?
SECTION 3: CAREER SERVICES (office use only)
□ GHN account is active
□ I-9 on file
□ New Hire □ Reactivate Job Number:
□ U.S. Citizen □ International □ Permanent Resident
□ Secondary Position - Time Card
□ Set Up & Term Term Date:
Position Code:
Student Employment Representative: Date:
STUDENT EMPLOYMENT HIRING FORM
I’m hiring this student to work (check ONE):
□ Fall/Spring
□ Fall Break Only
□ Thanksgiving Break Only
□ Christmas Break Only
□ Spring Break Only
□ Summer
□ Temporary (i.e. Event-Specific Shuttle Driver)
(question #5 on your I-20 form)
click to sign
signature
click to edit
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