<h2>Student Employment - Employment Status Change Form</h2><table border="1" width="100%" cellpadding="3" cellspacing="2" rules="rows" frame="hsides"> <tr> <td valign="top" width="100%" style="border: dashed; border-width: thin;" align="left">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 <a href="/id090c7f6a8024c439"><strong>spreadsheet version</strong></a>. <br /><br />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 <a href="/id090c7f6a80234f3b"><strong>performance review</strong></a> 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. <br /><br /><span style="color:red;">Student will not receive paycheck unless this form has been completed (and student has completed <a href="/id090c7f6a8024685a">I-9</a> and W4s.)</span></td> </tr></table><form action="http://www.drake.edu/cgi-bin/formmail.pl" method="Post"><input name="recipient" type="hidden" value="debra.wiley@drake.edu" /><input name="required" type="hidden" value="status_change,student_name,student_id_number,job_number,position,department,foapal_account_number,wage,effective_date,submitted_by,email_address,telephone_extension" /><input name="redirect" type="hidden" value="http://www.drake.edu/career/studentemployment/form_ack.php" /><input name="subject" type="hidden" value="Student Employment - Employment Status Change Form" /><input name="print_blank_fields" type="hidden" value="1" /><input name="print_config" type="hidden" value="status_change,student_name,student_id_number,job_number,position,department,foapal_account_number,wage,effective_date,submitted_by,email_address,telephone_extension" /> <p>*The following student has the following employment status change in our department:<br /> <input name="status_change" type="radio" value="Newly_Hired" />Newly Hired Student Employee :<br /> <input name="status_change" type="radio" value="Terminated_Employment" />Student Employee Terminated Employment:<br /> <input name="status_change" type="radio" value="Returning_Student_Employee" />Student is a Returning Student Employee:</p> <p>*Student Name:<br /> <input name="student_name" size="30" maxlength="50" /><br /> *Student ID Number:<br /> <input name="student_id_number" size="30" maxlength="50" /><br /> *Job Number:<br /> <input name="job_number" size="30" maxlength="50" /><br /> *Position:<br /> <input name="position" size="30" maxlength="50" /><br /> *Department:<br /> <input name="department" size="30" maxlength="50" /><br /> *FOAPAL Account Number:<br /> <input name="foapal_account_number" size="30" maxlength="50" /><br /> *Wage:<br /> <input name="wage" size="30" maxlength="50" /><br /> *Effective Date:<br /> <input name="effective_date" size="30" maxlength="50" /></p> <p>*Submitted By:<br /> <input name="submitted_by" size="30" maxlength="50" /><br /> *Email Address:<br /> <input name="email_address" size="30" maxlength="50" /><br /> *Telephone Extension:<br /> <input name="telephone_extension" size="30" maxlength="50" /></p> <p><input name="submit" type="submit" value="Send" /><input type="reset" value="Reset" /></p></form><table border="1" width="100%" cellpadding="3" cellspacing="2" rules="rows" frame="hsides"> <tr> <td valign="top" width="100%" style="border: dashed; border-width: thin;" align="left">Once HR receives this form, it will be returned to you with the Position Number. <br /><br /> For further assistance, please contact Debra Wiley, Assistant Director, Human Resources: (515) 271-3741; E-mail: <a href="mailto:Debra.Wiley@drake.edu">Debra.Wiley@drake.edu</a></td> </tr></table>