Student Employee - PAN
(Personnel Action Notice)
General Information
Note: Students are not cleared to work until supervisor receives notification from HR.
Student Employee Name
*
Student's Email Address
*
Supervisor Name
*
Supervisor Email
*
Your Name (if not the supervisor)
Your Email (if not the supervisor)
Department Name
*
Department #
*
Action being requested:
*
New Hire/Rehire
Dept. Addition
Dept. Removal
Stipend Payment
Other
Pro Tip:
Double check all email addresses - this ensures each individual receives the necessary communication throughout the student PAN process
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Please upload your student employee's Resume and Employment Application.
New Hire/Rehire Document Upload
*
Browse Files
Drag and drop files here
Choose a file
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of
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Stipend Information
Per Pay Period $ Amount
*
Number of Pay Periods
*
Date of 1st Paycheck
*
/
Month
/
Day
Year
Date
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Pay Information
Note: Student employees may work a maximum of 25 hours per week (20hr/wk if international) total across all departments.
$ Pay Rate per Hour
*
Hours/Week
*
Effective Date
/
Month
/
Day
Year
Date
Note: If changing a current employee's pay rate, the effective date must be the beginning of a pay period.
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Budget Information
How is this position funded?
*
Unbudgeted
Budgeted
If unbudgeted - Monthly budget impact is:
*
Budget Manager's Name
*
Cannot be the same as Supervisor
Budget Manger's Email
*
Cannot be the same as Supervisor
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Any Other Notes?
Submit
Should be Empty: