Returning Student Assistant
Employment Form
*This form is to be used if we have a copy of your paperwork on file in the Payroll Office in
Knapp Hall from prior employment on Work Study or Student Assistant Payroll*
Student Name:
Social
Security
No.
SUNY ID No.
Home Address:
Apt. #
City: _ State: Zip Code: _______
Birth Date:
Home Phone No:
Campus Phone No.
Student Signature
:
Date:
Mailbox Number in Bouck Hall
Direct Deposit Reactivation
Please reactivate my direct deposit, there have been no changes to my bank information.
Signature:
Position:
Line Item: _
Effective Date: End Date:
Hourly Rate $
Account No:
Supervisor-PRINT NAME _______________________________________________
Supervisor Signature:
Date:
Budget Holder Signature (If Needed) ________________________________________
Maximum Earnings for Student (ACADEMIC YEAR) __________________________
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