Graduate Assistantship Employment And Wage Agreement Form

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GRADUATE ASSISTANTSHIP
EMPLOYMENT AND WAGE AGREEMENT
Instructions: Please complete SECTION A of this form and secure the signatures as indicated. Attach E-Verify/I-9 form and W-4
form if applicable and submit to the Graduate School (211 Tillman Hall). International students receiving a Graduate Assistantship
should take this form immediately to the International Center. Students are not allowed to begin working until the paperwork has been
processed by the Graduate School, International Center (if applicable), and the Office of Human Resources.
Deadlines: Graduate Assistants must complete a new “Graduate Assistantship Employment and Wage Agreement” each semester
they are employed as a Graduate Assistant. To avoid delayed payments to students, the complete employee packet (“Graduate
Assistant Employment and Wage Agreement” form, E-Verify/I-9 form, and W-4 form) must be received in the Graduate School by
AUGUST 1 for the Fall semester and by DECEMBER 1 for the Spring semester. If these forms are correct and received by the
Graduate School by the above deadlines, Graduate Assistants will receive their first paycheck on September 10 for the Fall semester
and January 25 for the Spring semester.
Section A: (To be completed by hiring unit)
____Fall semester or ____Spring semester
___________________________________________________________________________________________________________
Name of Student
CWID Number
Employing Department
________________________________________
USE THIS BOX FOR GRANT or GRANT-MATCH
Graduate Assistantship Position Title
GRADUATE ASSISTANTSHIPS ONLY
Stipend Amount Per Semester $_______________
________________/______/______/_________/_______
Primary Dept.
Fund
Org.
Account
Program
Tuition Grant Per Semester $_______________
________________/______/______/_________/_______
______________________________________
Dates of Employment
Secondary Dept.
Fund
Org.
Account
Program
(if applicable)
THIS DOCUMENT DOES NOT CREATE ANY CONTRACTUAL RIGHTS OR ENTITLEMENTS. WINTHROP UNIVERSITY RESERVES THE RIGHT
TO REVISE THE CONTENT OF THIS DOCUMENT, IN WHOLE OR IN PART. NO PROMISES OR ASSURANCES, WHETHER WRITTEN OR
ORAL, WHICH ARE CONTRARY TO OR INCONSISTENT WITH THE TERMS OF THIS PARAGRAPH CREATE ANY CONTRACT OF
EMPLOYMENT.
I accept the position of graduate assistant at Winthrop University. I have read the “Graduate Assistant/Associate Position
Guidelines” and understand that my graduate position will be terminated should I not fulfill any of the requirements outlined
in that document. I also understand that this agreement is subject to the approvals indicated below.
____________________________________________
______________________________________________________
Signature of Graduate Assistant
Date
Print Name of Work Supervisor / Signature of Work Supervisor/Date
________________________________________________
_____________________________________________________
Unit Graduate Assistant Coordinator
Date
International Center (if applicable)
(Unit refers to Academic College, Athletics, or Student Life)
Section B: (To be completed by the Graduate School/Budget Office/Human Resources)
The individual named above has been fully admitted to the following program: __________________________________________
Student is enrolled for ________ graduate and ________ undergraduate hours for a total load of ________ hours.
Stipend per semester $_________
_______________________________________________
Tuition Grant per semester $ ________
Dean of Graduate School
Date
# of hours/week _________
Position Number __________
______________________________________________
Human Resources
Date
Rev: May 28, 2015

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