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Appointment Change Request
This form is used to make changes to a CURRENT student assistant appointment. Please note that only authorized employers may request changes. Items 1-7 are required.
1. Your Name
*!!*
2. Your Email Address
*!!*
*!!*
3.
Department Name
*!!*
*!!*
4.
Student Name
*!!*
*!!*
5.
Student ID or SSN
*!!*
*!!*
6.
Student Job Title
*!!*
*!!*
7.
Effective Date of Change
*!!*
*!!*
COMPLETE APPLICABLE ITEMS BELOW
8.
Wage Change:
Please indicate the new wage below.
*!!*
9.
Account Change:
Please indicate the new account number below.
*!!*
10.
Extend Appointment End Date:
Please indicate the new end date.
Note: You may NOT extend an appt. into the FALL semester, you must rehire.
*!!*
11.
Other Change:
Describe below.
*!!*
12.
Remarks:
*!!*
