Request to Hire Student Worker(s) 1Purchase Request Form2Item Information3Final Page Requestor Name* First Last Requestor Email* Funding SourceAccount Number (optional)EntitySourceOrganizationActivityFunctionObjectSplit Cost (% of Price) If you are unsure about the account number or source name, please provide as many details as possible to help us ensure the proper account is being chargedStudent Work Hours RequestHourly Rate* Justification for increased rate over minimum wage*Total Estimated Hours Per Week (Total hours of all students)*Please enter a number greater than or equal to 0.Hiring Department Job Title(s) Job Duties*Justification (Include names of student(s), if known)*Duration* Summer 2022 Fall Semester 2022 Spring Semester 2023 Other Summer Semester JustificationOther Start/End Dates & Justification*Student's Supervisor Signature* Signature Date* MM slash DD slash YYYY Note to Initiator: After you submit, you will receive an confirmation email. If your form is approved, denied, or needs more information, you will receive further emails. Prior to speaking to prospective student employees, the Student Work Hours Request must be approved. After approval, new students and students who are changing work locations are required to complete employment paperwork PRIOR to their first day of work. Please contact Business Services or email@example.com to make arrangements. Press submit now!