Student Employee Request Form

This form is used to request new or replacement student employees in the Department of Chemistry. The form will be routed for review, and you will be notified of the request status by email.

Request Type(Required)

Department area(Required)

Anticipated Start Date(Required)

End Date(Required)

Hours per week(Required)

Requested Wage(Required)

Student Pay Info

Funding Source(Required)

Please list in detail a description of duties:(Required)

Your name(Required)

Your Email(Required)

Name

This field is for validation purposes and should be left unchanged.