Modifications to this form
are prohibited
Student Contractual Agreement
University of Massachusetts  Amherst
Date
I,
accept the position of
in the
department for the period
to
(month/day/year)
(month/day/year)
I understand that the compensation for this service is a bi-weekly stipend of $
amount of $
for a total stipend
for the hours worked in completion of described duties as indicated below.
Duties required:
I have read this Student Contractual Agreement and agree to accept this position under the terms and conditions contained herein.
_______________________________________
Student’s Signature
__________
Date
Authorized and Approved by:
_________________________________
Department Head
__________
Date