PROMOTION REQUEST FORM
Clear Form
Mark all that apply:
Moreno Valley College
Student Employment
FWS
Department
Calworks
XXX - XX-
Student Name – As Printed on Social Security Card (Please Print)
Last Four Digits of Social Security Number
Hiring Site Name
Location
Student ID #
Supervisor Name
Phone # and Extension
Department Budget Code #1
Department Budget Code #2
Department Budget Code #3
Department Budget Code #4
New rate requested $
Old Position Title: Student Aide
New Position Title: Student Aide
Reason for Increase: Added duties
More advanced skills required to complete new tasks
(Must have a Position Request Form on file)
Supervisor’s Signature:
Date:
** Please Note: It may take one or two full pay cycles for a pay increase to take effect **
Office Use Only
STUDENT INFO
Federal Work Study (FWS)
_________________ - _________________ / ______________ = ________________
OC AMR AMC
CS
LT
CGPA _____________
Award Amount
YTD Earnings
Pay Rate
Balance of Hours
Program (Circle One)
Current/Last Enrolled Units ________ Term __________
Calworks (CWS)
_________________ - _________________ / ______________ = ________________
Award Amount
YTD Earnings
Pay Rate
Balance of Hours
DEPARTMENT-FUNDED:
Budget Code #1 Allocation: _______________YTD Earnings:
________________
Current Projected Earnings= _________________
OK
Transfer
(YTD Mthy Avg__________ x 12 mths)
Projected Raise Difference ______Per Hour x 80Hours/Month x ____________ = $_________+ Current Projected Earnings $______________=$__________________
Required
(Remaining Months)
$___________
Budget Code #2 Allocation: _______________YTD Earnings:
________________
Current Projected Earnings= _________________
OK
Transfer
(YTD Mthy Avg__________ x 12 mths)
Projected Raise Difference ______Per Hour x 80Hours/Month x ____________ = $_________+ Current Projected Earnings $______________=$__________________
Required
(Remaining Months)
$___________
Budget Code #3 Allocation: _______________YTD Earnings:
________________
Current Projected Earnings= _________________
OK
Transfer
(YTD Mthy Avg__________ x 12 mths)
Projected Raise Difference ______Per Hour x 80Hours/Month x ____________ = $_________+ Current Projected Earnings $______________=$__________________
Required
(Remaining Months)
$___________
Budget Code #4 Allocation: _______________YTD Earnings:
________________
Current Projected Earnings= _________________
OK
Transfer
(YTD Mthy Avg__________ x 12 mths)
Projected Raise Difference ______Per Hour x 80Hours/Month x ____________ = $_________+ Current Projected Earnings $______________=$__________________
Required
(Remaining Months)
$___________
Effective Payroll: ___________
Pending Transfer #
for budget(s) #
Approved
Denied
Signature: ________________________________ Date: _________________________
Student Employment Specialist/Director/Dean
Original to Student Employment Copy to Supervisor