Promotion Request Form

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PROMOTION REQUEST FORM
Mark all that apply:
Riverside Community College District
FWS
District
Calworks
Student Employment
Student Name – As Printed on Social Security Card (Please Print)
Social Security Number
Hiring Site Name
Location
Supervisor Name
Phone # and Extension
District Budget Code #2
Department Budget Code #4
District Budget Code #1
Department Budget Code #3
Department Budget Code #5
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 **
FOR 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
DISTRICT
Budget Code #1 YTD Earnings:
Balance:
Projected Earnings:
X
- Balance =
 OK
 Transfer
_____________________
_____________________
_________________
_________________
_____________________
Required
Remain Mths
Monthly Earnings
Potential Balance
Budget Code #2 YTD Earnings:
Balance:
Projected Earnings:
X
- Balance =
 OK
 Transfer
_____________________
_____________________
_________________
_________________
_____________________
Required
Remain Mths
Monthly Earnings
Potential Balance
Budget Code #3 YTD Earnings:
Balance:
Projected Earnings:
X
- Balance =
 OK
 Transfer
_____________________
_____________________
_________________
_________________
_____________________
Required
Remain Mths
Monthly Earnings
Potential Balance
Budget Code #4 YTD Earnings:
Balance:
Projected Earnings:
X
- Balance =
 OK
 Transfer
_____________________
_____________________
_________________
_________________
_____________________
Required
Remain Mths
Monthly Earnings
Potential Balance
Budget Code #5 YTD Earnings:
Balance:
Projected Earnings:
X
- Balance =
 OK
 Transfer
_____________________
_____________________
_________________
_________________
_____________________
Required
Remain Mths
Monthly Earnings
Potential Balance
Effective Payroll: ___________
 Pending Transfer #
for budget(s) #
Approved 
Denied 
Signature: ________________________________ Date: _________________________
Student Employment Dean/Director/Manager
Original to Student Employment  Student and Supervisor: processed copies will be returned

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