Hire/Change Form Hire/Change Form Used for position and/or compensation changes for Human Resource and Payroll processing. Will this person be on the College's payroll? * Required Yes No Please indicate the nature of the change to be made. * Required New hire Rehire Position change Additional position Stipend payment Separation Other change Description of "other" change Employee Name * Required First Last Department * Required Effective Date of hire/change - must be mm/dd/yyyy format MM slash DD slash YYYY Account number (##-#-#####-50005) * Required Position title * Required Is this a new position? * Required Yes No I do not know Status * Required Regular (on-going) Temporary Anticipated Term Date - must be mm/dd/yyyy format MM slash DD slash YYYY Is this a full-time or part-time position? * Required Full time (40 hours per week, 52 weeks per year) Part time (Less than 40 hours per week fo 52 weeks per year) Please indicate the number of hours per year. * Required Is this an hourly (bi-weekly) or a salaried (monthly) position? * Required Hourly (bi-weekly) Salaried (monthly) Please indicate the annualized salary. * RequiredPlease indicate hourly pay rate. * RequiredStipend amountFrequency of stipend payment Reason for stipend payment What is the nature of the relationship/change? * Required Creative Dining Intern Separation Volunteer Person's Name * Required First Last Department * Required Account NumberFor payroll approvals only ##-#-#####-50005 format Effective Date - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Title Will this person be leaving on or before the end of the academic year? * RequiredPlease note that a new hire request will need to be submitted if this person returns in a future academic year. End of the academic year Before the end of the academic year Supervisor's name First Last Authorized by * Required Δ
