APPOINTMENT FORM for Student Titles Hiring paperwork must be completed before start of work CANDIDATE INFORMATION Name: Email: Supervisor: Dept Name: : Status: Hire Current or former University Employee; please list EID Visa Required: Yes No Visa Type: RECRUITMENT This appointment is: Non-Work-Study Work-Study; Job # (if known): Work-Study Referral Required? No Yes Student ID: APPOINTMENT INFORMATION: Appointment Type: Position Number: Payroll Title Job Code: Full/Part: FTE %: Start Date: End Date: Hourly Rate: Pay Cycle: CalTime Friendly Name: Meal Length: Shift Occurrence: Is a criminal background Yes Yes (must attach IOC/JD) required? No Is this position a ? No NOTES: FUNDING INFORMATION: %/Hrs Fund Dept ID Prg ChartField1 ChartField2 # 1 2 3 4 5 REQUIRED APPROVALS (If submitting electronically you may forward the email with the program manager’s approval to HR instead of obtaining an original signature.) Program/Dept Print X Manager Name: Signature Date: Financial Print X Analyst Name: Signature Date: Attached: Job Description PEM Other (e.g., IOC for CBC)
APPOINTMENT FORM for Student Titles Hiring paperwork must be completed before start of work CANDIDATE INFORMATION Name: Email: Supervisor: Dept Name: : Status: Hire Current or former University Employee; please list EID Visa Required: Yes No Visa Type: RECRUITMENT This appointment is: Non-Work-Study Work-Study; Job # (if known): Work-Study Referral Required? No Yes Student ID: APPOINTMENT INFORMATION: Appointment Type: Position Number: Payroll Title Job Code: Full/Part: FTE %: Start Date: End Date: Hourly Rate: Pay Cycle: CalTime Friendly Name: Meal Length: Shift Occurrence: Is a criminal background required? Yes (must attach IOC/JD) No Is this position a ? Yes No NOTES: FUNDING INFORMATION: # %/Hrs Fund Dept ID Prg ChartField1 ChartField2 1 2 3 4 5 REQUIRED APPROVALS (If submitting electronically you may forward the email with the program manager’s approval to HR instead of obtaining an original signature.) Program/Dept Manager Print Name: Signature X Date: Financial Analyst Print Name: Signature X Date: Attached: Job Description PEM Other (e.g., IOC for CBC)
appointment_form_for_students_11-16-16.docx