WS to TS Payroll Transition Form

Main Page Content

Department Name *
Supervisor Name Supervisor Name * First Last
Supervisor's Email *

A receipt of submission will be sent to this email address.
Name of Student Name of Student * First Last
Banner ID # *
Exact Starting Date on TS Exact Starting Date on TS * / MM / DD YYYY
*

WS exhausted; move to TS (student must be already hired and authorized on WS and must have exhausted entire WS award).
Pay Rate *

Minimum wage is $15.00
Temporary Service Account # *
The student had WS Direct Deposit and wants this to continue on Temporary Service