PROMOTION REQUEST FORM
Riverside Community College District
Student Employment
Student Name – As Printed on Social Security Card (Please Print) Social Security Number Hiring Site Name Location
Supervisor Name Phone # and Extension District Budget Code #2 Department Budget Code #4
District Budget Code #1 Department Budget Code #3 Department Budget Code #5
New rate requested $ Old Position Title: Student Aide New Position Title: Student Aide Reason for Increase: Added duties
More advanced skills required to complete new tasks
(Must have a Position Request Form on file)
Supervisor’s Signature: Date:
** Please Note: It may take one or two full pay cycles for a pay increase to take effect **
STUDENT INFO
Federal Work Study (FWS)
Calworks (CWS)
DISTRICT
Effective Payroll: ___________ Pending Transfer # for budget(s) #
Approved Denied Signature: ________________________________ Date: _________________________
Student Employment Dean/Director/Manager
Original to S
tudent Employment Student and Supervisor: processed copies will be returned
_________________ - _________________ / ______________ = ________________ OC AMR AMC CS LT
Award Amount YTD Earnings Pay Rate Balance of Hours Program (Circle One)
CGPA _____________
Current/Last Enrolled Units ________ Term _____
_____
Budget Code #1 YTD Earnings: _____________________ Balance: _____________________ Projected Earnings: _________________ X _________________ - Balance = _____________________ OK Transfer
Remain Mths Monthly Earnings Potential Balance Required
Budget Code #2 YTD Earnings: _____________________ Balance: _____________________ Projected Earnings: _________________ X _________________ - Balance = _____________________ OK Transfer
Remain Mths Monthly Earnings Potential Balance Required
Budget Code #3 YTD Earnings: _____________________ Balance: _____________________ Projected Earnings: _________________ X _________________ - Balance = _____________________ OK Transfer
Remain Mths Monthly Earnings Potential Balance
Required
Budget Code #4 YTD Earnings: _____________________ Balance: _____________________ Projected Earnings: _________________ X _________________ - Balance = _____________________ OK Transfer
Remain Mths Monthly Earnings Potential Balance Required
Budget Code #5 YTD Earnings: _____________________ Balance: _____________________ Projected Earnings: _________________ X _________________ - Balance = _____________________ OK Transfer
Remain Mths Monthly Earnings Potential Balance Required
Mark all that apply:
FWS District Calworks
_________________ - _________________ / ______________ = ________________
Award Amount YTD Earnings Pay Rate Balance of Hours
