Student Summer Change Form

If you have questions, please contact Janine Burt, Student Employment Manager.

Employment Details
Change Type*
Student Name*
First Last
Student ID*
Current Position Title*
Current Department*
Job Number*
Job number is located in Student Employment Inquiry (Williams Employment History section).
Effective Date of Change*
Date Format: MM slash DD slash YYYY

Effective date equals the date the change did or will take effect (not necessarily the first day of work or the date form is submitted).
Additional Information / Explain Multiple Changes
INSTRUCTIONS:
Please only fill in items below which have changed or will be changing.
Changed Details
New First Day of Work
Date Format: MM slash DD slash YYYY
Resignation Date or New Last Day of Work
Date Format: MM slash DD slash YYYY
New Position Title
New Department
New Fund Code
New Department Code
New Proj/Grant Code
New Rate of Pay
Authorization Details
Requester's Name*
First Last
Requester's Email*

A copy of this form will automatically be CC'ed to you.

Employment Details