Please complete the following information for student worker hires in Student Affairs. Contact Wayland Bryan at firstname.lastname@example.org with any questions. Employee Legal First Name: * Employee Legal Last Name: * Employee UVA Computing ID: * Supervisor Name: * Supervisor UVA Computing ID: * Start Date: * Year Year20212022 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Please put the employee's first day on the job. Hire Date: * Year Year20212022 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Please put the employee's date of hire. Reason: * Conversion Hire from another state agency New hire Rehire Rehire from another state agency Through acquisition Transfer/Reassigned from another state agency Employee Type: * Regular Student Temporary Wage Job Profile: * Undergraduate student Graduate student Graduate instructor Time Type: * Full time Part time Position Name: * Location: * Please enter full address. Pay Rate Type: * Undergraduate Job Category A Undergraduate Job Category B Undergraduate Job Category C Undergraduate Job Category D Graduate Job Category E Graduate Job Category F Graduate Job Category G Period Activity Pay (Goal Pay) Is this a Federal Work Study position? * Yes No If unsure, please contact Wayland Bryan at email@example.com before completing the form. Federal Work Study Handshake Job ID (Required starting Fall 2020) If no handshake job id is available, please put “advertised elsewhere". Job Description Document: This document should include: hourly rate, hours per week, and a description of duties for the position.Files must be less than 4 MB.Allowed file types: txt rtf pdf doc docx. End Date: Year Year202020212022 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Has the student's FWS eligibility been checked? Yes No Federal Work Study students can only work during the normal school year. PTAO: Assignment Number: Assignment number is not applicable if New Hire. Hiring Approval received from: * Pay Rate: * $ Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 12 + 4 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.