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University at Albany, State University of New York

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: