Graduate Assistant Personnel Action Form
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1FOR STUDENT BEING HIRED BY STUDENT’S OUTSIDE PROGRAM
PF2A-2
GRADUATE ASSISTANT PERSONNEL ACTION FORM
SECTION A:
Hiring Department
Budget Number (9 Digits)
Appointment term:
(fall, spring, summer, or annual)
(year)
SECTION B:
Please provide information about all assistantships (and funding sources) being offered to a single student.
PantherNumber
Employee ID#
Total
Per month
Name (Last, First, M.I.)
Title/Level
FTE
Speedtype
Start Date
End Date
(9 digits)
(6 digits)
Compensation
compensation
Example -Doe, John M.
xxx-xx-xxxx
xxxxxx
GTAA
20%
HABC4
$2,000
$500
SECTION C:
I have approval of my program to hold this graduate
Student’s
Name of
assistantship?
Yes
No
Signature:
Program
Does student have another graduate assistantship?
Yes
No
If yes, with which department?
Working FTE for this appointment (i.e. 20%)?
___________________________ Current
I have received a copy of the university’s Graduate Assistant Policy
Hirer’s/Initiator’s printed name
(7/14/06)
Current Hirer’s/Initiator’s signature
phone #
date
Student’s signature
SECTION D:
Please indicate the type of tuition waiver requested for this student. The computer system will only allow either a “full” or “half” waiver.
Half Waiver
(signature of hiring unit and date)
Comments
Full Waiver
(signature of hiring unit and date)
Comments
SECTION E:
_______________________________________________________________________
Authorized Name and signature for Budget Unit
Date
If student has not worked at Ga. State University in the last 12 months, please provide
student with a copy of this form to take to HR for hire packet purposes.
_______________________________________________________________________
Dean, VP, Provost, or President (or authorized designee, as required)
Date
FORM PF2A-2 (OUTSIDE PROGRAM) - Revised 8/1/06
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