The University of Akron Career Services - Student Employment
Student Union 211 Akron, OH 44325-4306 Email: studentemployment@uakron.edu Phone: 330-972-7747
Pay/Account/Status Change Form RECORD #
TO BE COMPLETED BY HIRING SUPERVISOR
Student ID
Student First Name
Middle Initial
Student Last Name
CHANGES TO BE MADE WITH THIS FORM:
Pay rate change
Add or change Account
Federal Work Study (FWS) to Non-FWS
Non-FWS to Federal Work Study
Termination
Effective date
Department
Dept Code
Supervisor Name
Supervisor Phone
Current Pay Rate
$ /hour
New Pay Rate *student signature required
$ /hour
Current Account Code
New / ADD Account Code(s)
Job description / Rationale for pay rate change:
Signature of Student Employee (needed for any pay rate change) Date
Signature of Department Head Date
TO BE COMPLETED BY CAREER SERVICES STUDENT EMPLOYMENT
FWS period of eligibility to work
Click or tap to enter a date. TO Click or tap to enter a
date.
Amount of FWS award: *
The award may be modified due to future changes in
eligibility or due to available funding
$ May work a maximum of 29 hours/week.
Fall
Spring
Inter
Sum I
8 week
Sum II
Credit Hrs.
Rank
Pay rate
$ /hour
Signature of Career Services Date
Processor’s Initials