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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 
Student's Job Title: 
Index Code 
Account Code 
Job Status
Primary Rate of Pay 
Secondary Rate of Pay (if any) 
Additional Rate of Pay (if any) 
Special Instructions 
Department Approver 
Reports to (FYI Approver): 
Enter your LioNet login information to sign form
Employee SID