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 Si
gnature: _________________________________________ Date: ________________
Please indicate Alternate A
uthorized Signer to approve student web-time/timesheets if the Responsible
Manager above is not avai
lable: ___________________________________________________________
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 Spring Summer
Last Name: First Name: Middle Initial:
Banner ID: Dept: Hours per Week:
Position Title: Hourly Rate:
Preferred Start Date: Preferred End Date:
CONFIRMATION:
Published 1-31-19
2018-2019