TEXAS STATE CAREER SERVICES

ACKNOWLEDGEMENT FORM

 

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

 

Student Employee (Section I):

 

Do you have relatives, by blood or marriage employed at this institution?

(   )    No     (   )      Yes            If yes, give:

 

                                                                                                                                                           

Name                                                  Department                                        Relationship

 

______________________________________________________________________

Name                                                  Department                                        Relationship

 

Are you related by blood or marriage, to any member of the Board of Regents, Texas State University System?  (   )                 No     (   )       Yes

 

*Student Signature: _______________________________    Date: _________________

 

Student Employee Acknowledgement (Section II):

 

Your signature at the bottom of this section certifies that you have been provided with copies of the following:

§   Notice of Workers' Compensation Benefits

§   Multiple Employments with the State

§   Illegal Discrimination Policy

§   Retaliation Prohibited for Reporting Violation of Law

§   Standards of Conduct for State Employees

§   The Federal Immigration Reform and Control Act      

§   Student Right-to-Know and Campus Security Act

§   State Property--Accounting and Responsibility

§   Political Aid and Legislative Influence Prohibited

       

I acknowledge that I have received the documents and handouts listed and I understand that I am responsible for reading all the information provided. I agree to comply with all Texas State University-San Marcos procedures, policies and conditions of employment. I also agree that it is my responsibility to promptly complete and return forms to my supervisor. I understand that my department or Career Services will provide me with assistance should I have questions concerning this information.

 

*Student's Signature: _______________________________    Date:                                   

 

Employer Section:

 

______________________________________________________________________

Signature of Account Manager                                                                    Date

 

                                                                                                                                                           

Account Manager (Please print)                             Department                                        Phone

 

Important Notice: Laws, policies, rules, and regulations relating to the above items change periodically; before taking actions based on information contained in your packet, please check first with your supervisor.