Student Employment

STUDENT EMPLOYMENT FORM

Part I: Student Information and Signature

Legal Name: Preferred Name: Student ID #: _Grade: CCAD Email: Local Phone #: _ Local Address:

ATTENTION STUDENTS: Please read the information below before signing:

• Hiring stipulation contingent upon enrollment with
• I have read the job description and completed the Financial Aid Application with the
• I know my employment will end should I have poor job performance, discontinued student status or upon my
• I also understand this position could be paid under the Federal Work Study Program if applicable. Please contact Financial Aid Office for questions.
• Direct deposit is required for all employees. You must provide a voided check or a letter from your bank verifying your account to set up direct Otherwise you will receive your paycheck on an ADP Wisely Card.
• I take responsibility for reading and abiding by the policies of the CCAD Student Employee Handbook
• Employment will NOT begin until your supervisor is notified by HR that your employment eligibility has been verified

Student Signature: Print Name: _ Date:

Part II: Supervisor Information and Signature

Supervisor Signature: Print Name: _ Date: Department: _Term and Year: _ Type of Student Employee (select one): Student Worker Student Intern Co-Op Student's Work Location: On-Campus Remote Hybrid

Approved Pay Rate is Minimum Wage: Approved Pay Rate (if applicable): $ an hour

Part III: HR Office Only

FWS Student Employment HR Signature: Date:

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