Fillable New Hire Packet Form 13 14 (Jacksonville University)

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New Hire Packet Form 13 14 (Jacksonville University)

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Fall 13, Spring ’14, Summer 14
SRC Form
Received in FAO: _______________
EMPLOYEE INFORMATION
Name:
Start date:
Position:
Student ID #:
JACKSONVILLE UNIVERSITY DOCUMENTATION
Authorization to Work
Student Employee Expectations
Statement of Responsibility and Confidentiality
Direct Deposit Enrollment Form w/ voided check (optional)
FEDERAL DOCUMENTATION
W-4 completed
I-9 Form w/ copies of identification
Passport OR
Social Security Card AND
Driver’s License
International Students only:
Temporary Social Security Card AND
Student ID
OTHER DOCUMENTATION
Student Termination Form
Student Evaluation Form
Fall 13, Spring ’14, Summer 14
SRC Form
Received in FAO: _______________
JU STUDENT EMPLOYMENT PROGRAM
AUTHORIZATION TO WORK: HOURLY & CONTRACT
SUMMER / FALL 2013 AND SPRING 2014
Student Last Name: _____________________________ Student First Name: ________________________________
JU Student ID #: _________________________________ Student Social Security Number: ____________________
JU Student Email: ________________________________ Student Phone Number: ____________________________
Supervisor Name: ________________________________ Department: _______________________________________
Supervisor Phone Number: _______________________ Email Address: ______________________________________
Program Type: UNIV* or FWS (Check Box)
*UNIV GL / Budget Number: ________-_____-_________-_________
Hourly Wage: $______________ Date of Hire: ________________
Contract Start Date: ________________ Contract End Date: ____________________________ Approximate Hours
Total Contract Amount: $____________ Bi-Weekly Amount to be Paid: $_________________ ________________
As part of this contract, Jacksonville University reserves the right to alter policies and practices as well as
terminate student employment based on the following provisions:
Violation of responsibility
Inability to perform duties
Re-organization to the department or program
Loss of funds to support employment under department budget
Violation of any infraction listed in the Student Handbook
GPA falls below minimum 2.0
Important Note: NO student should work BEFORE the student’s eligibility to work has been verified by the Student
Employment Office. Failure to verify this information may result in lost wages to the student or unexpected debits to the
department’s student worker award account in order to pay the student worker. Students MUST maintain at least a 2.0 GPA
to participate. Employment is “At Will” and a student can be terminated at any time by the employing department.
Timesheets should be turned in on time per the guidelines set by the Supervisor and Bi-Weekly Mondays by 5pm to the
Student Employment Office.
Student Signature: _________________________________ Date: ______________________________
Supervisor Signature: _______________________________ Date: ______________________________
Student Employment Coordinator Signature: _____________________________________________
Date: _________________
(Office Use Only)
Position ID #: ___________________ Date Received: ________________ NEW ADD (check box)
FWS $ Verified: Fall available balance: $_______ Spring available balance: $________
W4 Received I9 Received IDs Received SRC and SEE Received
Comments: _____________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Fall 13, Spring ’14, Summer 14
SRC Form
Received in FAO: _______________
Student Employee Expectations
Jacksonville University
As a student employee in the Jacksonville University Student Employment Program, I understand that
I am responsible for:
1. Reading, understanding, and complying with the policies and procedures set forth in the Student
Employment Handbook
2. Reviewing job listings on the Student Employment web page and finding my own job
3. Completing training and all necessary paperwork BEFORE beginning ANY job or being compensated.
4. Informing my supervisor of my academic schedule
5. Ensuring that I do not work during class time
6. Ensuring that my timesheets accurately reflect hours worked
7. Monitoring my accumulated earnings (Especially Federal Work Study Students)
8. Terminating my student employment once my FWS award has been exhausted or
when the departmental budget has been exhausted
9. Complying with all Payroll Department procedures
(including but not limited to the submission of all payroll forms which includes electronic timesheets.)
10. You are expected to be aware and communicate any inappropriate activities that may result in the
termination of employment and additional sanctions from the Office of Student Life.
These activities include but are not limited to:
o Theft
o Falsification of time sheets
o Unauthorized release of confidential information as stated in the Statement of Responsibility and
Confidentiality form signed by each employee
o Inappropriate language
o Fighting
o Being suspended from OR withdrawing from school
o Dropping below half-time status BEFORE census date (undergraduates 6 hours,
graduate/professional 4.5 hours)
Student Signature: __________________________________ Date: __________________________
Print Student Name: __________________________________ Student ID #: ___________________
Supervisor Signature: __________________________________ Date: __________________________
Print Supervisor Name: _________________________________ Extension: ___________________
Disclaimer: By signing this form, you agree that you and your employee have both read and understand the
above statements in relation to the Student Employment Program. This form must be signed and submitted to
the Student Employment Coordinator before student can begin working or be compensated.
Fall 13, Spring ’14, Summer 14
SRC Form
Received in FAO: _______________
Statement of Responsibility and Confidentiality
Jacksonville University
The Financial Aid Office has adopted the following policy pertaining to the Statement of Responsibility and
Confidentiality for its employees. Any deviation in policy must be met with the approval of the Director of
Financial Aid and/or other governing entities.
For security and confidentiality of records and/or data files, the Financial Aid Office and all other offices on the
campus at Jacksonville University has a policy of administering and maintaining student records in compliance
with the Family Educational Rights and Privacy Act of 1974, as amended; also known as FERPA. Each office
employee holds a position of trust relative to maintaining security and confidentiality of these records and must
recognize the responsibility entrusted to him/her. Because conduct on or off the job may threaten the security
and confidentiality of these records in any form, each student employee of any office help here on campus or
off campus, students are expected to adhere to the following:
1. No one may make or permit unauthorized use of any information in files maintained, stored or
processed by any and all offices on or off campus.
2. No one is permitted to seek personal benefit or allow others to benefit personally by knowledge of any
confidential information which has come to him/her virtue of work assignment.
3. No one is to exhibit or divulge the contents of any records or report to any person except in the
conduct of his/her work assignment and in accordance with University policies.
4. No one may knowingly include or cause to be included in any records or report a false, inaccurate or
misleading entry.
5. No official record or report, or copy thereof, may be removed from the office where it is maintained
except in the performance of a person’s duties.
6. No one is to abet or act in conspiracy with another to violate any part of this code.
7. Any knowledge of a violation of this code must immediately be reported to a supervisor or the Student
Employment Coordinator located in the Financial Aid Office.
Violation of this code will lead to a reprimand, suspension or dismissal consistent with the personnel policies of
this University. Additionally, judicial sanctions may be considered according to the student judicial policies of
this University.
I have read and will comply with the Statement of Responsibility and Confidentiality for security and
confidentiality of records and/or data files. This form must be signed and submitted to the Student Employment
Coordinator before student can begin working or be compensated.
Student Signature: __________________________________ Date: __________________________
Print Student Name: __________________________________ Student ID #: ___________________
Supervisor Signature: __________________________________ Date: __________________________
Print Supervisor Name: _________________________________ Extension: ___________________
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New Hire Packet Form 13 14 (Jacksonville University)

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Completed 21 July 2020

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