Go Back
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 
Immediate Supervisor 
Work Phone of Immediate Supervisor
If you designate a Departmental Approver, both the Immediate Supervisor and Departmental Approver
will need to sign the time sheet in webtime entry.

Departmental Approver (optional): 
Enter your LioNet login information to sign form
Employee SID