ORAL ROBERTS UNIVERSITY
STUDENT EMPLOYMENT
SUMMER WORK AND HOUSING ACKNOWLEDGMENT
Name: Student Z#:
Last First Middle Initial
CPO / Local Address:
CPO or house # and street name City State Zip
Daytime Phone:
I hereby acknowledge that I must work a total of 360 hours between the dates of May 1, 2012 and July 28,
2012 in order for me to receive free summer housing. I understand that this is an average of 30 hours of work a
week (after the Spring 2011 semester finals week). If the 360 is met within the specified time frame free
housing will continue until August 11, 2012.
The maximum number of hours I can work in a single week cannot exceed 40 hours unless otherwise
authorized by the department and must be approved by my supervisor.
My failure to meet these conditions will result in housing charges being posted to my account for the summer.
I understand that my summer housing waiver is a taxable benefit. The dollar amount of my housing will
appear as part of my yearly earnings on my W-2 form for the current fiscal year. I also understand that I am
personally liable for any applicable state or federal taxes that summer housing may incur. I am aware of the
option of adding additional withholdings on my W-4 form on line six to possibly offset any additional taxes
incurred by free housing. Taxes for the housing waiver
will not be reflected on my bi-weekly paychecks. I
am also aware that as a student I am FICA (Social Security Tax & Medicare Tax) exempt only for the period
of work in which I am attending class full-time. International students are always FICA exempt.
I understand and accept the criteria for receiving free summer housing through student employment at Oral
Roberts University.
Student’s Signature:
Date:
Career Services – OFFICE USE ONLY
Employed Cost Center(s): Department Name Hiring Manager Date Dept. Notified
Cost Center #1
Cost Center #2
Date Received by Career Services:
