Student Employment - Employment Status Change Form

To accurately process the student employment within your department, it is essential that this form be furnished to Human Resources prior to the second business day of each month. If you have many students in your area, you may complete the spreadsheet version.

This form must be completed for all status changes to the student employee. This includes hiring a student or terminating a student. During the year, when a student receives a merit increase, the performance review will serve as documentation to increase the wage. Additionally, this is required when students return to their employment at the beginning of summer semester and academic year.

Student will not receive paycheck unless this form has been completed (and student has completed I-9 and W4s.)

*The following student has the following employment status change in our department:
Newly Hired Student Employee :
Student Employee Terminated Employment:
Student is a Returning Student Employee:

*Student Name:

*Student ID Number:

*Job Number:

*Position:

*Department:

*FOAPAL Account Number:

*Wage:

*Effective Date:

*Submitted By:

*Email Address:

*Telephone Extension:

Once HR receives this form, it will be returned to you with the Position Number.

For further assistance, please contact Debra Wiley, Assistant Director, Human Resources: (515) 271-3741; E-mail: Debra.Wiley@drake.edu