JOB DESCRIPTION/REQUEST
FOR STUDENT EMPLOYEES
OFFICE OF STUDENT EMPLOYMENT
Please use a separate request for each position filled.
ALL SECTIONS MUST BE COMPLETED
DEPARTMENT:
LOCATION: PHONE:
CONTACT PERSON: EMAIL:
q Summer q Academic Year:
JOB TITLE: HANDSHAKE POSTING #:
JOB OUTLINE:
MINIMUM QUALIFICATIONS:
Hourly Rate: $
# of Hours Required: Daytime Evening Weekend Holidays
Position is for: q Federal Work-Study q Non Federal Work-Study
q Undergraduate q Graduate
q On-Campus Hire q Remote Hire q Off-CampusPartnering Agency
Will the student employee be using or be exposed to Human Bloodborne Pathogens? qYes* qNo
* If yes, the student will be required to receive a Hepatitis B vaccination or sign a declination statement
UGTA (Proof of training required): q Course #
q Grader q Lab Tech q Lab Assistant q In-Class Assistant q Recitation Leader
STUDENT NAME: STUDENT ID#:
Federal regulations require that this form accompany a Hire Form and that they both be processed before the student
begins working. The student must complete the I-9 Form (Employment Eligibility Verification) with the Office of Student
Employment within 3 business days of the hire date.
PLEASE RETURN THIS FORM WITH A HIRE FORM TO:
OFFICE OF STUDENT EMPLOYMENT
YOST HALL, ROOM 412
(216) 368-4533
FAX (216) 368-5054
stu-emp@case.edu
