ORAL ROBERTS UNIVERSITY
STUDENT WORK STUDY
CHANGE OF STATUS FORM
Student Name:
Last First Middle
Z#: Effective Date:
Citizenship Status Tax Status
International FICA Exempt
Resident Alien FICA Nonexempt
Rate of Pay Change Transfer of Cost Center Reactivate
Transfer of WS Program Additional WS Position (2
nd
) Job Description Change
Present Status Proposed Status
Department: Department:
Pay Code: Pay Code: ______
Pay Rate: Pay Rate:
Job Title:
Job Title:
Job ID #: ____________ Job ID #: ______
Supervisor: Supervisor:
Career Services Office Use Only:
APPROVED: Yes No
Student Employment Representative Signature Date
Payroll Notified Date: GHN Notes Date (excluding pay rate):