LOS ANGELES MIDWEST NEW ENGLAND SANTA BARBARA SEATTLE
STUDENT WORK AGREEMENT
This needs to be completed and confirmed PRIOR to beginning employment.
NEW CHANGE ADDITIONAL RETURNING CAMPUS
STUDENT NAME STUDENT ID DATE
FWSP NON_FWSP MAX AWARD/TERM MAX AWARD/YEAR
POSITION ID/DESCRIPTION DEPARTMENT
(See attached listing)
HIRE DATE (No sooner than the term start date) END DATE (No later than term end date)
HRS PER WEEK # OF WEEKS HOURLY PAY GL (account) #
SUPERVISOR ALTERNATE SUPERVISOR
**FORMS REQUIRED FOR NEW STUDENT WORKERS – TO BE SUBMITTED TO HR**
W-4 State Tax Form (if applicable) I-9 Direct Deposit Form Emergency Contact
Employee Information Data Sheet Statement of Confidentiality Forms on File (current students only)
Terms & Conditions of Employment:
• Hours reflected on this contract are the maximum allowed for the student per term, not necessarily the position.
•
You must take a minimum of a half-hour unpaid lunch break after working five hours.
• Submit completed time entry via AU View every other Friday.
• Web time entry without supervisor approval will not be accepted.
• Third time missing web time entry will result in termination of your employment.
• Work-study students are not eligible for medical, dental, educational, worker’s compensation benefits, paid vacation, sick leave or
holidays.
• Students who are graduating may not work past the last official day of classes that term. Check with Financial Aid if you are
graduating.
• Earnings are taxable; appropriate taxes will be deducted from your paychecks, and must be reported to the IRS.
• The University may withdraw your work-study position if it is determined that you are no longer eligible or due to budget
constraints.
Student Signature Date
Student Printed Name
Supervisor Authorizing Signature Date
Supervisor Authorizing Printed Name
Financial Aid Authorizing Signature Date
Financial Aid Authorizing Printed Name
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