Wage Increase

This form is ONLY for current student employees who are receiving a raise.

Student Legal Name Student Legal Name First Last
Student Preferred First Name (optional)
Student Email
Banner #
Must be 9 digits. Currently Entered: 3 digits.
Supervisor Name Supervisor Name First Last
Only an employee of SUNY Brockport may supervise. The listed supervisor is whoever will be approving timesheets.
Supervisor Email

Must be a @brockport.edu email.
Payroll

Payroll Temporary Service Work-Study

Work-Study eligibility and award amount is determined by the Financial Aid Office.
● The student may see their eligibility using Web for Banner (PIN required).
● Supervisors can check for eligibility in Group_Student Employment Supervisors_GRP in Teams (Work-Study channel, files, FWS Eligible Files) or email Studentemployment@brockport.edu with the student's 800# to verify.
Work-Study Account #

Work-Study Account # 211515 211565

For Work-Study only.
Two additional digits
Must be a number between 1 and 99
Required field to identify department for Work Study.
Temporary Service Account #
Must be a number between 100000 and 999999
For Temporary Service (TS) only.
Two additional digits.
Must be 2 digits. Currently Entered: 0 digits.
Required field to identify department account sub-code for Temporary Service.
Department Name
What will the wage rate increase to? $ Dollars . Cents
Student Employment Wage Rate must be between $16 (minimum) and $26.65 (maximum).
Desired Start Date of Increase. Note: The wage increase will take effect at the beginning of the next pay period following this date. Retroactive wage increases cannot be done. Desired Start Date of Increase.
Note: The wage increase will take effect at the beginning of the next pay period following this date. Retroactive wage increases cannot be done. / MM / DD YYYY
NOTES:

For any information, you would like Student Employment or Payroll to be aware of.
Name of Staff Member Completing This Form (If not the Supervisor above.) Name of Staff Member Completing This Form (If not the Supervisor above.) First Last
Email of Staff Member Completing This Form (if different from supervisor's email)