Student/Temp New Hire & Termination Authorization
Fill out form ONLY after candidate has applied for, and accepted a posted position OR employee has resigned their position.
Personnel Action
First Name (Legal)
Your answer
Last Name (Legal)
Your answer
Date of Hire
MM
/
DD
/
YYYY
End Date
Provide date when terminating students
MM
/
DD
/
YYYY
Job Title
Your answer
Requisition #
This will be listed on your ADP Job Postings
Your answer
Employee Type
Department
Your answer
Account number
If position is funded by department/grant use Acct Number, and if Work Study, enter '0' Financial Aid with provide the Account Number
Your answer
Pay Rate
Your answer
Total # of hours to be worked per week
Your answer
Submitted By:
Please enter supervisor name
Your answer
Special Instructions
Your answer
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