Metropolitan State University of Denver
Student Employment - Split Assignment Form
REV 01/01/19
Student Name:
900#:
Semester:
Year:
I agree to the split work assignment for the above named student. I further agree to monitor the hours for this
student with other affected department supervisors and to comply with the MSU Denver Student Employment
Policy pertaining to maximum allowed hours. Student employees are allowed to work up 30 hours a week total,
regardless of the number of jobs that the student has. (International Students can work a maximum of 20 hours
while classes are in session.) Also, if a student should run out of work-study funding for a semester, the departments
must communicate with each other and Financial Aid as to how each should be billed.
1.
Department Name
Supervisor Name
Phone Number
Supervisor Signature
Date
Number of hours student will work in department per week:
2.
Department Name
Supervisor Name
Phone Number
Supervisor Signature
Date
Number of hours student will work in department per week:
3.
Department Name
Supervisor Name
Phone Number
Supervisor Signature
Date
Number of hours student will work in department per week:
Total Hours :
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