Cptc on Campus Job Request and Description Form

SUMMER 2015–SPRING 2016

CPTC ON CAMPUS JOB REQUEST AND DESCRIPTION FORM FOR WORK STUDY POSITION(S)

**Work Study positions are dependent upon state and federal funding. We may not be able to fund all positions requested. Work Study positions may not result in the displacement of employed workers or impair existing contracts for services.

DATE: ______INSTRUCTIONS:

1. Fill out a request for each position you would like to establish, unless you have a number of jobs that are EXACTLY the same. Fill out the request completely and neatly.

2. Students cannot work more than 19 hours per week while classes are in session or during scheduled class times.

3. Have your Director, Dean or official budget signing authority sign the request form and return to:

JACKIE SPRINGER FINANCIAL AID PROGRAM SPECIALIST –BUILDING 17, ROOM 102E, FINANCIAL AID OFFICE

PRINTED SUPERVISOR’S NAME:______

SUPERVISOR’S SIGNATURE:______

Please fill this section out completely.

This request applies to the following quarters: (Check the appropriate quarters.)

Summer 2015 Fall 2015 Winter 2016 Spring 2016

NUMBER OF POSITIONS REQUESTED:

DEPARTMENT/DIVISION: SUPERVISOR

BUILDING #: ROOM #: PHONE #:

EMAIL ADDRESS:

JOB TITLE:

JOB DESCRIPTION/ESSENTIAL FUNCTIONS: Indicate duties, responsibilities, time of day required. Please be as specific as possible in completing this portion of the form.

1 | P a g e WORK STUDY ON CAMPUS JOB REQUEST / JOB DESCRIPTION 2015/16 JSPRINGER .______EMPLOYEE QUALIFICATIONS: (Required skills, prerequisite class(es):) Please add any additional qualifications you would like:  Ability to assist as needed  Possess good organizational and time-management skills  Promote and demonstrate respect for all students, inclusive of race, age, ethnicity, gender, sexual orientation, religion, abilities, etc.  Ability to take respectful direction from work-site supervisor  Respect student and staff confidentiality  Refrain from counseling or giving advice .______

EDUCATIONAL BENEFITS TO BE DERIVED BY STUDENTS IN THIS JOB:

______SIGNATURE OF SUPERVISOR TITLE OF SUPERVISOR DATE

PRINTED NAME OF DEAN/DIRECTOR/BUDGET AUTHORITY

SIGNATURE OF DEAN/DIRECTOR/BUDGET AUTHORITY

TITLE OF DEAN/DIRECTOR/BUDGET AUTHORITY DATE

2 | P a g e WORK STUDY ON CAMPUS JOB REQUEST / JOB DESCRIPTION 2015/16 JSPRINGER PLEASE MAKE A COPY FOR YOUR RECORDS AND THEN RETURN THIS ENTIRE FORM TO THE FINANCIAL AID OFFICE (JACKIE SPRINGER).

3 | P a g e WORK STUDY ON CAMPUS JOB REQUEST / JOB DESCRIPTION 2015/16 JSPRINGER