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  2. 2014
  3. May
  4. S
  5. Student Employment Tool
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Requestor Name
   
 
 
 
Student Employee Name
   
 
 
 
Start Date
 
 
 
End Date
 
 
 
Number of hours worked per week
   
 
 
 
Pay Rate
   
 
 
Source of funding to pay student and percent of funding per source
Name of Source Percent of Funding
Source 1
Source 2
Source 3
Source 4
Source 5
 
 
 
Duties Assigned to Student / Comments
   
 
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