MT. SAN JACINTO COLLEGE
Student Employment Hire Slip
A: Student Section SID #:
New Hire
Rehire _____
Employee ID #:
Last First
MI
Job Posting #:
I understand that I must meet eligibility criteria for each term, be enrolled in at least 6 units each semester, and will work no more than
20 hours each week.
I am responsible for monitoring my earnings so that I do not earn more than my most recent FWS
award.
Student Signature
Date
B: Hiring Supervisor Section
FWS Budget Code:
12 _ 36 4101 0 0000 _ _ _ _
Effective Date: End Date:
Date of Hire: End Date:
District Budget Code:
Effective Date: End Date:
Supervisor’s Name:
CW/Job Connect Budget Code:
Effective Date: End Date:
Timesheet Monitoring Rep:
Categorical Grant Budget Code:
Effective Date: End Date:
Department Name:
Special Assignment:
LC Tutor UB Tutor SSP Peers TS Tutor
Mentor Intern *Other
(Requires additional approval for use)
Campus Location: Ext.
Rate of pay: $13.00
I agree to hire the above student under the terms of the Student/Employer Agreement. I understand that the student
must meet eligibility criteria for each term, be enrolled in at least 6 units each semester, and will work no more than 20
hours each week for more than 8 hours per day. I am responsible for monitoring my student’s earnings so that they do
not earn more than their most recent FWS award.
Supervisor’s Signature
Date
Director/Dean Signature
Date
Financial Aid Approval (Only required for FWS students)
Date
Business Services Approval
Date
Rev. 5/2020 Distribution copies to: Financial Aid, HR, Payroll, Employing Dept., Job Connect (if applicable)
FINANCIAL AID USE
*HR will not process without FA approval
Academic Year: _________
Awarded FWS: Yes / No
FWS Award Amount: $ _________
G.P.A. ______________________
Units
Enrolled: ________________
FA_______ SP _______ SU ______
FA Staff Initials:
______________