Hourly Hire Student 051612

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					                                                                                                                                               Human Resources System




                                                         Hourly Hire - Student Help
   This form can be used by department payroll coordinators to gather data prior to set up of HOURLY Student Help positions in HRS
                                     and/or for maintaining hard-copy record of student hires.

Department:                                                                            Date:

Enrollment Verification:                                                  # Credits:                                    Semester:
EPM HR Search Results:
                                          No EPM or HRS Person Match
                                          EPM or HRS Person Match                                       Empl ID:
                                                                                                        Empl Rcd:
Enrolled at another campus?
                                          Not enrolled elsewhere
                                          Enrolled on other UWS Campus (please specify)
                                          Enrolled outside of UW System (please specify)
Job Effective Date:                                                                    First day on the job

PERSON INFORMATION
Name (First Middle Last):                                                                                     Name Suffix:
Date of Birth:                                                                                                Gender:
Social Security Number:

Selective Service (X if yes)                                   Signature Date                                                         required if box is marked



    Home Address:                             Release Home info? (X for yes)           Please use permanent mailing address

         Address Line 1                                                                     City

         Address Line 2                                                                     State                                     `

         Postal Code                                                                        County

    Phone:                        List primary/preferred number first

         Type                                                                               Number

         Type                                                                               Number

    Email:                                                                             Please use UWRF address

    I-9 verification date (citizenship)                                                     Criminal bkgrnd ck date (if applicable)

JOB INFORMATION

         Major Dept Code:                                                              Filter on codes that begin with J for UWRF

         Building:                                                                     Filter on codes that begin with J for UWRF

         Expected Job End Date:                                                        I.e. end of academic term, anticipated graduation

         Compensation rate:                                                            Hourly

         Working Title:                                                                This shows on student timesheet. Be as specific as possible.

         Job Code:                                94870-Student Help                   UWRF will always use 94870




Hourly Hire-Student Help                                                         1 of 2                                                                           5/16/12
                                                                                                                                 Human Resources System




FUNDING DISTRIBUTION

              Fund               Dept ID                                  Program        Project/Grant ID            Distribution %
            (3 digits)           (6 digits)                               (1 digit)      (7 characters)




                                                                                                Must Equal 100%                             0%



TIME ENTRY/WORK SCHEDULE APPROVER
If individuals below are new to the Coordinator or Approver role, a nightly process will automatically provision the HRS security role for
them.

                                 Coordinator/Approver Name

Payroll Coordinator              00154937-Rhonda Finstad                                 Do not need to add other Coordinators

UW Approver

UW Approver Back-up

Non-UW Approver                                                                          i.e. for America Reads

Non-UW Approver Backup


Work Study:                      X if intend to use available Work Study funds           Work Study Job Type:

                                                                                         Award Amount:


Notes:




Hourly Hire-Student Help                                              2 of 2                                                                     5/16/12

				
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