New Student Help Request Form SoE Business Office - Student New Hire Information Form Step 1 of 4 25% The Department Chair/Unit Director has reviewed and approves of this request.* Yes Name* First Middle (leave blank if not applicable) Last Date of Birth (MM/DD/YY)* MM slash DD slash YYYY Gender* Male Female Non-Binary Chooses not to identify Address* Street Address City State ZIP Job Start Date* MM slash DD slash YYYY Expected End Date* MM slash DD slash YYYY Employee ID* Mark "N/A" if no Empl ID. Divisional HR will reach out for SSN. UDDS*A170510A170530A171000A171300A171400A171600A172000A172300A172700A173000A173200A173500A173700A174700A176000A176030A176200A177500A177800A178000A178400A179000A179200Location*A0020-Armory/Red GymA0032-LathropA0153-Teacher EdA0154-Ed SciencesA0220-Art LoftsA0400-EducationA0450-Medical Sciences CenterA0469-HumanitiesA0545-VilasA1299-University AptsA8095-Science DrA8093-Commercial Ave Job LevelBasicIntermediateAdvancedJob Duties*Brief Description (3-5 sentences/bullet points) on duties being performedPay Basis*HourlyLumpHourly Rate* Please use format: "XX.XX"Lump Sum Amount* Justification for Hourly Rate Above $17.00*Time Tracking*Time SheetWeb ClockTime Sheet - Student enters their hours; Web Clock - Student punches in & out for their timeWorking Title* Approver* First, Last Name Employee ID Backup Approver* First, Last Name Employee ID Supervisor / Reports To* First, Last Name Position Number Fund* Department ID* Program* Project Distribution* Requester Name* Requester Email* Comments