Graduate School of
Biomedical Sciences
FORM GSBS51: UMMS STUDENT EMPLOYMENT APPROVAL
Please submit form to GSBS.Academics@umassmed.edu or hand deliver to S1-824.
INSTRUCTIONS: Complete this form, have signed as appropriate and submit.
UMMS STUDENT EMPLOYMENT for GSBS STUDENTS
GSBS Graduate Students may only receive additional compensation from the University within the guidelines of the
Graduate School.
Requirements:
1. Student must be in good standing.
2. Prior approval is received from the Thesis Advisor and the Dean of the Graduate School.
3. Student may work a maximum of 10 hours per week.
Start Date:
End Date:
Hours per Week:
Student Name
Proposed Activity
UMMS Department
Advisor Name
The following signatures certify that the above applicant is a graduate student in good standing in the GSBS, and that the
applicant has been approved for participation in an instructional or educational activity for which he/she can be
compensated (in addition to a stipend) by a University of Massachusetts agency.
Note: Approval is valid for one academic year and must be renewed each year.
Signatures
Student:
Date
Thesis Advisor:
Date
GSBS Dean:
This form requires the signature of the GSBS Dean or Associate Dean
Date
GSBS Staff:
Date:
Form of the Graduate School of Biomedical Sciences
University of Massachusetts Medical School
Last Updated: 4/10/2014
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