Employment Change Form

Need to update a student's work assignment: extend their employment, change their line manager, increase their pay, update their hours, end their assignment? Please complete this form if making changes to a student’s assignment. Please select the applicable Request Type using the reference guide on this website.

Requester First Name

Requester Last Name

Requester Email Address

Request Type

Number of requests

Please fill out and upload the relevant spreadsheet (Rehire spreadsheet, Separation spreadsheet, Change spreadsheet) for the type of change you are making. Note that only one type of change may be requested per form submission. More information can be found on the student employment forms page.

Mass Change upload

One file only.
256 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

Student Separation
Student Name Person # Assignment # Department Voluntary or Involuntary Have you contacted your HRC? Please contact your HRC. Reason for Separation Effective Date of Separation

Student Rehire
Student Name Person # Assignment # Department Start Date Has End Date? End Date Line Manager Changing Hourly Rate? Existing Hourly Rate New Hourly Rate Reason for Rate Change I have discussed pay change with my Business Officer prior to submitting this form Hours

Student Change
Student Name Person # Assignment # Department Effective Date of Change Changing Hours? New Hours Justification Changing Hourly Rate? Existing Hourly Rate New Hourly Rate Reason for Rate Change I have discussed pay change with my Business Officer prior to submitting this form Changing Manager? Current Manager New Manager Reason for Manager Change

Employment Change Form

Mass Request

Student Employment