SABSC BC STUDENT Hire Form
Use this form to hire a student assistant. This form should NOT be used for reimbursement, compensation, or award. Print
clearly or type, see page 2/back of form for instructions
Today’s Date: ________/_______/_______
Hire Requested for:
Student Name: _____________________________________________ Eagle ID #: ______________________
Permanent (home) Address: Number and Street:__________________________________________________
City, State and Zip: __________________________________________________________________________
Phone: _____________________________________E-Mail: ________________________________________
If the student has never worked for BC, to begin employment, he/she must first complete the Employment Eligibility and
Verification (I-9) form at:
and deliver the form to
Student Services, Lyons Hall. See Page 2 for other required forms
Job Title: __________________________________________________________________________________
Description of Service: _______________________________________________________________________
Hours/Week: ______ Hourly Rate: _______ Start Date: _________End Date: _________ Total Weeks _______
Chartstring:
Dept ID
Fund
Fund Source
Program
Function
Property
Account (SABSC Use)
Chartstring Name: _________________________________________________________________________
Hire Requested by:
Supervisor’s Name: ____________________________________ Supervisor’s Eagle ID: __________________
E-Mail: _____________________________
Supervisor’s Signature: ______________________________________
Dept. Authorization Signature: ______________________________________ Date: _____________________
-------------------------------------------------------------- For SABSC Use Only --------------------------------------------------------
Comments: _______________________________________________________________________________________
Job Request #: _________________ SABSC Staff: _____________________________Date Processed: ______________