Fillable GAPA GAPA.pdf (University of Toledo)

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GAPA GAPA.pdf (University of Toledo)

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File type: PDF

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____
____
Graduate Assistant
Personnel Action (GAPA)
The University of Toledo
Name
(Last) (First) (Middle)
Residency:
Home Department Organization
Position Class / Title
Employee Class
First Distribution
Second Distribution
Third Distribution
Employment Length:
Position Control Number
Index and Account
Stipend
Merit Award (if Applicable)
Total
Employment Dates
Begin Date:
End Date:
Begin Date:
End Date:
Begin Date:
End Date:
____
Or Grant____________________
Or Grant_________________________
Additional Remarks
Approvals
Paying Department
1
Date
Ext.
Vice Provost/Dean of Graduate School/Graduate School Manager
3
Date
Business Manager or Dean/Designee
Ext.
Grants Accounting (If Applicable)
4
Date
Graduate School Use Only
:
GPA Eligible
Visa Eligible (if applicable)
2
Ext.
New Hire
Rehire
Change
Clinical
Non Clinical
Home Base Care
Rocket ID
Date of Birth
Grant Fees Paid:
Tution Input _______/________
Hold/Question: ________________________________/____________
Split funding: (One department paying
stipend; another paying tution)
Current Program
Hours Waived: Fill in once unless hours
waived are different per account or term.
Exemption Code: Fill in once unless
separate code is used in accounts listed.
Or Grant ________________________
___ Insurance ___ General Fee
___ Other ___________________
___ Insurance ___ General Fee
___ Other ____________________
___ Insurance ___ General Fee
___ Other ____________________
Resident Code:
Department Mail Stop
Amount Per Pay
Net Pays
G1 - Graduate Assistant
Appointments:
Primary Job Change Reason
Date
Date
Form Created by:
Email Address:
5
(Please sign in blue and initial all changes.)
PI Approval (If applicable)
Contact Ext.
Access Input ___________/_______
R
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GAPA GAPA.pdf (University of Toledo)

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Completed 31 August 2020

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