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Student Employment Request/Change Form
  • For MSSU Staff Completion Only

  • To be completed by requesting department.
  • All fields are required except email,special instructions and address information.

Student's First Name 
Student's Last Name 
Student's SID 
Is this an international student?
Work Type
Employment Start Date*
*NOTE: Student must complete new hire paperwork prior to start date.
 
New Hire Paperwork Completion Date (internal purposes only): 
Student's Job Title: 
Index Code 
Account Code 
Department 
Job Status
Primary Rate of Pay (if any) 
Secondary Rate of Pay (if any) 
Additional Rate of Pay (if any) 
Special Instructions 
Immediate Supervisor *
*NOTE: Immediate supervisor will be responsilbe for approving the student's timesheet.
 
Work Phone of Immediate Supervisor
xxx-xxx-xxxx
 
Departmental Approver (optional):*
*NOTE: If a Departmental Approver is listed, both the Immediate Supervisor and Departmental Approver will be responsible for approving the student's timesheet.
 
Enter your LioNet login information to sign form
Employee SID
PIN