Student/Hourly Application Form

This application is for work during (spring summer fall winter) quarter. (circle one)

A. Applicant Completes: EmplID: _______________________________

Date:

Social Security #

Name
	Last	First		Middle Initial
Permanent Address (for tax purposes)
	Street	City	State		Zip
Local Address
Local Phone
Email Account

Stanford student?	No	Yes	SU ID #	Year in School	(e.g., sophomore)	Co-term?
Current SUL/AIR or SU Press Employee?	No	Yes	Where?	# Hours/Week	Supervisor	Phone #
Current SU employee?	No	Yes	Where?	# Hours/Week	Supervisor	Phone #

Do you plan to continue working at that other job?
Previous SU employee?	When?	Dept.

Indicate next to the days you can work, the hours you are available:

Monday	Tuesday	Wednesday			Thursday		Friday	Saturday		Sunday
Willing to work weekends?			yes	no		Willing to work evenings?			yes		no

Skills which qualify you for this position:

Typing (WPM):

Languages:

Computer/Word Processing Skills:

Hardware:	IBM	Mac	Other:
Software:	Excel	Microsoft Word
Library/Press Experience?

B. Student/Hourly Employee Completes After Hire:

Personal Information:

Date of birth:

Female

Male

Citizenship Information (required)

Country of Citizenship:	Visa Expiration Date:	Type of Visa:
Ethnicity (optional):
Hispanic/Latino	Asian	Black/African American
American Indian/Alaska Native	Non-Minority	Native Hawaiian/Other Pacific Islander

C. Hiring Supervisor Completes:

Check Route Code (4 digit number) _____________________

Work Assignment Dept Code (e.g. JRIM) (aka Org Code) _________________________

Library/Dept __________________________________________________________________

PTAE

Start Date

End Date

Hourly Wage

Hours per week

Supervisor’s Name

Date

Telephone E-mail account

For all people new to the Stanford Payroll system or new to your department, I-9 and photocopies of documents, must accompany this application. The tax form and direct deposit may be submitted on paper or completed online by the student through Axess after s/he has been hired into a position. A new I-9 is needed for anyone with a break in service and who was not recently working or has never worked in your department whether or not the student has worked elsewhere on campus.