TEXAS STATE CAREER SERVICES

STUDENT APPOINTMENT FORM

Questions? Call 245-2645 or view our web site at: www.careerservices.txstate.edu

I wish to hire the student named below to work in the position indicated. (All sections must be completed.)

PART I: (Check one) Work-Study Student ( ) Regular Wage Student ( )

PART II: (Check Applicable) New Hire ( ) Hourly Wage Change ( ) Change Work-Study to Regular ( )

Rehire ( ) Account Number Change ( ) Change Regular to Work-Study ( )

Name: Social Security #:

Occupational Title: Job Code: Start Date:

Award: Task Payment: Hourly Rate:

PART III:

* Is this student employed elsewhere on campus? Yes: No:

* If yes, where:

* If this student is an International Student, please have the student walk all paperwork to the Payroll Office. The Payroll Office will send the paperwork to Career Services.

Selective Service Registration: Effective 9-1-99, male citizens/nationals who are 18 up to 25 years of age are required to provide proof of registration with the Selective Service System or exemption from registration prior to the first day of employment. This proof of registration will only be required of an applicant who is selected for hire.

House Bill 558 (Click on www4.sss.gov to verify Selective Service)

Graduate Student Section:

Is this student a graduate student? Yes: No:

If yes, is this graduate student working as a Graduate Research Assistant, Graduate Teaching Assistant or as a Graduate Instructional Assistant? Yes: No:

If yes: 1. Where?

2. STOP! Call the Human Resources or Faculty Records.

PART IV: From which budget account(s) are you going to pay this student?

1. Account Number 3. Account Number

2. Account Number 4. Account Number

Signature of Account Manager Date

Account Manager (Please print) Department Phone

(Required Info) Name & TX State ID# of staff member who serves as the student’s supervisor:

Supervisor’s Name: TX State ID:

Supervisor’s Title: E-mail:

TEXAS STATE UNIVERSITY-SAN MARCOS IS AN EQUAL OPPORTUNITY EMPLOYER.

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