Request for Student Employment
Taft College
Student Employee Supervisor (THIS SECTION MUST BE TYPED)
2015-2016
Academic Year
Student’s Last Name
Fall-Spring
Semester(s)
Student ID Number/SSN
First Name
Job Number
Date of Birth
Local Address
Email
Phone Number
10
In Session:
Department
Budget Code:
Supervisor
Out of Session:
20
Hours Per Week
-
- 2361 -
-
-
%
-
%
%
Supervisor’s Signature
Budget Approval (i.e. CalWorks, Athletics)
Date
Financial Aid Office
Approved
Disapproved
Current Units:
IWS
FWS
Effective Date
Job Packet:
CalWorks
CCN:
EOPS
SAP
TIL
SSS
Financial Aid Signature
Administration
Approved
Disapproved
Administrator’s Signature
Date
Authorization Notice
Start Date: _________________________
Notification Sent to Student/Supervisor: ________________________
Releasing the Student (When student is released complete this section and forward a copy to Financial Aid)
Last Day Worked
Reason For Release
Would you recommend student for rehire?
Yes
No
Supervisor’s Signature
Date
7-23-15 (CJS)