Request for Exception Allowing Additional Work for Graduate Assistants
NOTE: Both student and requester need to notify the hiring department of additional work.
NAME: NAU ID:
NAU EMAIL: DATE:
DEGREE/PROGRAM:
ADVISOR/MAJOR PROFESSOR:
NAME OF REQUESTER: PHONE:
Is the additional work for the same department that grants the student’s assistantship?
Yes No
Department for which the additional work will be completed: ____________________
Supervisor’s name (for the additional work): _____________________________
Additional work/tasks that will be completed:
Is the student a:
GTA GRA GSA
Is the GA an International Student?
Yes No
Length of time for the additional work?
Fall Spring Both
Number of hours per week*?
or
One-time pay
*5 hour maximum
Reason for Request. Include the description of the current position and nature of additional
work.
Name of GA supervisor:
Approval of GA Supervisor**: Date:
Name of Academic advisor:
Approval of Academic Advisor**: Date:
** Electronic Signatures and/or printed names are permitted in the space provided.
Graduate College Use Only
Date of Approval:
Date of Dpt. Notification:
Date Entered:
Revised 11/2019
If yes, a signature from the CIE/ISSS advisor is
required:_______________________ Date:________
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