Fillable MI Telephone: E-Mail Undergraduate Submit completed and signed (California State University, Sacramento)

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MI Telephone: E-Mail Undergraduate Submit completed and signed (California State University, Sacramento)

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The MI Telephone: E-Mail Undergraduate Submit completed and signed (California State University, Sacramento) form is 1 page long and contains:

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  • 10 check-boxes
  • 20 other fields

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File type: PDF

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Last Name:
MI
Mailing Address:
City State Zip
Telephone: E-Mail
Undergraduate
Major:
No
Yes (note departments and hours )
Will you be working as a Temporary Faculty or Staff Employee in any other department?
No
Yes
(IF YOU SELECTED 'YES' - STOP)
**Academic Student Employees may not be concurrently hired as temporary faculty/staff
For Office of Global Education: # of Units: Class Level:
Yes
No
Units Enrolled:
to
or or
Hours per semester
Will this student be teaching an assigned course while employed as an ISA?
No Yes
(required)
(required)
Hiring Department / Program Unit Verification
Hours Per Week / Semester:
Briefly describe your qualifications for the position (attach resume or additional sheet to application):
VISA GPA:
Are you an international student?
Birthdate:
SSN / Student #:
Year:
First:
*Semester:
Spring
Summer
Fall
INTERNATIONAL UNDERGRAD & GRAD STUDENT VERIFICATION - Visit IPGE Office for approval (Library 1001)
If YES, the Office of Global Education must verify work status
NO
Students may not work more than 20 hours a week (fall & spring only)
Will you be working as an ISA, Student Assistant, Graduate Assistant or Teaching Associate in any other department?
Will you use FWS for this position?
Graduate / Doctorate
California State University, Sacramento
Office of Global Education Signature
Instructional Student Assistants (ISA) Application
NO
YES
YES
Submit completed and signed application to the hiring department or program unit
Winter
If YES, provide Work Study award letter to department / program unit
Date
Dean Signature / Office of Graduate Studies
For Office of Graduate Studies use ONLY
Date
Approved Denied
2018 Sept
We are recommending this student for employment as an Instructional Student Assistant for the semester
indicated. A completed PTF is attached.
Unit Req - Graduate Students: 4-12 units / Undergraduate Students: 6 - 15 units
Is the student eligible for employment at Sac State?
Chair / Unit Administrator
Dept.
Ext.
2 - 5 hour difference
Set weekly hours
GPA (overall) - Graduate Students: 3.0+ GPA / Undergraduate Students: 2.50 GPA
I verify that the student meets the following requirements (check off boxes):
Cont Enrollment Fees Paid
Student OVERALL GPA:
New Applicants - Student is NOT approved to start working until all hiring paperwork has been submitted to student HR office.
Ext:
Student
Signature:
Date:
ISA reports to (staff / faculty):
Work dates on Personal Transaction Form (PTF) are current & accurate (actual work dates)
AND that our department / program acknowledges the following (check boxes):
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MI Telephone: E-Mail Undergraduate Submit completed and signed (California State University, Sacramento)

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Completed 18 August 2020

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