STUDENT EMPLOYMENT CONFIRMATION
• Student is enrolled in 6 Units or more. (For summer, student was enrolled in 6 units in previous spring
or upcoming fall semester)
• Student is required to complete Fingerprinting. Students receive a fee waiver for Fingerprinting at
Cuesta College.
Responsible Manager’s Sign
ature: _________________________________________ Date: ________________
Please indicate Alternate Aut
horized Signer to approve student web-time/timesheets if the Responsible
Manager above is not availa
ble: ___________________________________________________________
Choose One of the Following:
NOTE: Number of work hours per week may not exceed 20 hours in any one department or combination of
departments.
ACCOUNT NUMBER/S:
__________________________________________
___________________________%_______________________
__________________________________________
___________________________%_______________________
__________________________________________
___________________________%_______________________
HR USE ONLY:
Position ID: _________________________
Federal Workstudy
CalWORKS
Regular
Academic Year:
Fall
Last Name: First Name:
Banner ID:
Dept:
Position
Title:
Spring Summer
Middle Initial:
Preferred Start Date: Preferred End Date:
CONFIRMATION:
Hours per Week:
Range:
Rate:
