MT. SAN JACINTO COLLEGE
NON-MSJC Student Employment Hire Slip
A: Student Section SID #:
New Hire
Rehire _____
Employee ID #:
Last First
MI
Job Posting #:
I understand that I must meet eligibility criteria for each term, be enrolled in at least 6 units each semester, and will work no more than
20 hours each week.
I am responsible for monitoring my earnings.
Student Signature
Date
B: Hiring Supervisor Section
District Budget Code:
Effective Date:
Date of Hire: End Date:
District Budget Code:
Effective Date: End Date:
Supervisor’s Name:
District Budget Code:
Effective Date:
End Date:
Timesheet Monitoring Rep:
Categorical Grant Budget Code:
Effective Date: End Date:
Department Name:
Special Assignment:
LC Tutor UB Tutor SSP Peers TS Tutor
Mentor Intern *Other
(Requires additional approval for use)
Campus Location: Ext.
Rate of pay: $13.00
I agree to hire the above student under the terms of the Student/Employer Agreement. I understand that the student
must meet eligibility criteria for each term, be enrolled in at least 6 units each semester, and will work no more than 20
hours each week for more than 8 hours per day. I am responsible for monitoring my student’s earnings.
Supervisor’s Signature
Date
Director/Dean Signature
Date
Business Services Approval
Date
Rev. 6/18 Distribution copies to: HR, Payroll, Employing Department
EN
ROLLMENT VERIFICATION
*HR will not process without completion. Transcripts
are required at the time of hire slip submission.
Transcripts indicating active enrollment must
acc ompany each time sheet submitted.
Academic Year: ______________
G.P.A. ____________
Units Enrolled: ______________
School
Enrolled @: _____________
Staff Initials:
____________
End Date: