Hourly Student Appointment Form (PER-40)
Use Template Based Hire to produce new hire form PER-40
Fill out the Hourly Student Appointment Form (PER-40) (pdf)
The PER-40 is used to hire, rehire, to maintain (i.e., rehire, name change, address change, pay rate change, position data change, etc.), and to terminate undergraduate students (Job Code 03500). It includes position and employee data on one form to minimize the paperwork.
For Non University Students (Job Code 035100) complete the Appointment Form (PER-38)
Completing the Form
Name: List First Name, Middle Name or Initial, Last Name and Suffix (i.e. Jr., Sr., IV, etc.) of employee as noted on Social Security Card. NOTE: When doing a name search in HRIS you will need to enter the name using the standard name format: [last name] space [suffix] comma [first name] space [middle name or initial]. Mixed case.
- De Bowes,Larry L
- Jones IV,James
- Phillips MD,Deanna Lynn
- Reynolds Jr,John Q
SSN: This number should be copied from the employee's Social Security card. A copy of the card should be submitted with all appointment paperwork. Since the correct number is important to the employee's records, do not take the Social Security number from the employee based upon his or her memory. If the appointee does not have a Social Security number, he or she should make application at a local Social Security Office. Do not submit a PER-40 for the student employee until they have been assigned a number. They cannot be paid without a social security number.
Dept ID: A 10-digit number assigned to each department. The first five digits are "36700" followed by the five-digit Financial Record System (FRS) department number.
Dept Name: Official name of the department where the employee will work. The Department ID must match the Department Name.
eID: eIDs are "electronic IDs" on K-State's central computer systems.
Employee ID: An eleven digit identification number assigned to the employee when the employee is originally hired. Usually begins with a "W". If the employee worked for another state agency prior to coming to KSU, or if employed with KSU prior to 1995, the ID may have a different letter. Leave this field blank for new employees and it will be assigned by HRIS.
Rcd # (Employment Record Number): This is usually "0" for new hires. It is generally one less than the number of positions the employee holds. If an employee is currently active on Rcd 0 and being appointed to a second position, that number will be "1". If an employee has a Rcd 0 (active), Rcd 1 (inactive) and Rcd 2 (active), Rcd 1 should be used since it is the inactive record and available.
Former Name: Employee's former name, if applicable.
Effective Date: The date the action takes effect. For a hire, this date should be the first day of work for the employee.
End of Appt Date: Date used to indicate end of appointment. Note: Termination effective date is the first day the employee is not at work.
Example: Last day at work is March 6 -- Effective date for termination is March 7 (first day employee is not at work)
Marital Status: Identifies the employee's marital status.
|Head of Household|
- (Place an "X" in the box to indicate type of action.)
- Hire: Used for all new appointments (initial hires and rehires).
- Add Concurrent Job: Used when an employee has other active positions within HRIS. If an employee already has an existing position with another department or within a department and needs to be hired into an additional position, the employee will be assigned a concurrent position.
- Update: Once student data is in the Human Resource Information System (HRIS) changes or additions can be made to the employee record. This action updates existing information (i.e. name change, address change, pay rate change, etc.). It inserts a new row of data in HRIS with an effective date greater than or equal to the date of the current row. This action adds a new effective dated row where applicable; retains history.
- Correction: Used to change data in the Human Resource Information System (HRIS) that is incorrect due to previous personnel transactions. Also used when superceding previous transactions.
- Terminate: Indicates end of employment. NOTE: Hourly students must be terminated at the end of the spring semester if they will not be working during the summer. However, if they will be returning to the same position for the fall semester they may be allowed to remain on the payroll as long as another K-State department or state agency does not hire them during the summer.
Home Address [Local Address]
- Indicates the employee's address (street, rural route, post office box, city, county, state, zip code. Include zip +4, if available). This is where employees' W-2 information will be sent.
- Country: Will be USA unless a foreign address.
- Address 1 & Address 2, City: Indicate street address, apartment and/or box number, city of employee. For example Address 1: 1234 Sunset St Apt 2, Address 2: P O Box 1234 or leave blank. City: Manhattan. Refer to address abbreviations (xls).
- County: Identifies the two-digit county code of the home address. Refer to County Code Table (xls).
- State & Zip Code: Indicate two-digit state code and zip code of employee. For example State:KS Zip Code: 66502-1223
- Home Phone Indicates the 10-digit home phone (Local) number of employee.
Ethnic Groups (Mark all that apply)
- Identifies the ethnic group to which the employee belongs. You may ask the employee to which ethnic group he or she belongs in order to enter the appropriate code.
- American Indian/Alaskan Native
- Black/African American
- Native Hawaiian/Oth Pac Island
Gender: F=Female M=Male
Highest Education: Identifies the employee's highest education level.
|Level of Education|
|2-Yr Degree||Not Indicated|
|Bachelor's Degree||Post Doctorate|
|HS Grad||Some Grad|
|Less than High School||Tech Schl|
Birthdate: Employee's date of birth. Please use MMDDYY format.
Military Status: Identifies the military status of the employee. For a list of definitions refer to Military Status and Disabled Veteran's Definition
Citizenship Status: Identifies the employee's citizenship. If the employee is not a U.S. citizen please complete Visa Information and attach a Foreign National Tax Information Form.
- Alien Perm
- Alien Temp
Visa Type: If the employee is a U.S. Citizen or permanent resident leave this field blank. If the employee is not a U.S. citizen and is in this country under a visa authorizing employment, insert the type of visa from the following list. Certain types of visas limit the number of hours per week the individual may work. An On-Campus work permit from International Student and Scholar Services is required for visa holders. Those holding a F-2 (spouse of student) visa may not work.
|TN||Nafta Agreement (i.e. Canada or Mexico)|
- Issue Date: Visa issue date, located on the visa.
- Expiration Date: Visa expiration date, located on the visa
- Arrival Date: Date non-resident alien arrived in the U.S. Usually is stamped on the I-94, Arrival/Departure record. This date will be used to determine if the employee meets the Substantial Presence Test (SPT) for tax purposes.
Action Code: Identifies the personnel action affecting the employee. Example: The first time an employee is hired, Hire (HIR) will be used. For a complete list of actions refer to Action/Reason Codes (xls) and select the Hourly Students tab.
|ACTION CODE||REASON CODE||TYPE OF ACTION|
|Hir||Cnp||Add concurrent job|
|Pay||Oth||Pay rate change|
|Ter||Etm||End of temporary appt.|
|Reh||Reh||Rehire after break in service|
|Xfr||Eer||Transfer to new position with no break|
Position Number: An 8-digit position to which the employee is assigned. Employees must be placed in vacant (open) positions. It is recommended that vacant positions be reused whenever possible. If a new position needs to be added by HR, indicate "NEW" in the position number field.
Job Code/Job Title: 03500 (already pre-printed on form)
FTE: Indicates tenths time of position. It will be close to the number of hours the employee is scheduled to work. FTE does not calculate biweekly pay. Hours recorded in time and leave will determine biweekly pay.
Tax Location: This field is used for taxing jurisdiction in the payroll process. This is the state in which the employee works. For most employees at Kansas State University it will be Kansas. Notify payroll immediately if the employee's work location is outside of Kansas.
Hourly Comp Rate: Hourly rate employee is to be paid. Must be at least minimum wage.
College Work Study (CWSP)?: Identifies whether the employee will be participating in CWSP. Place an "X" in the appropriate box. Under the College Work Study Program (CWSP) hourly student employees are subject to the eligibility requirements and limitations of the College Work Study Program as determined by the Office of Student Financial Assistance. The normal CWSP split is 75%25% (with Work Study Program funding 75% of the position and the department funding 25%). Students employed by the Kansas Center for Rural Initiatives are the only ones eligible for 100% funding under the CWSP program. NOTE: Student provides supervisor with a form from SFA (Student Financial Assistance) to complete and then forward to SFA. HR does not want this form.
Previous Employment: If the appointee has been previously or is currently employed by state or local government, or any other state agency including KSU, give agency name(s), date(s) of employment, and employee ID, if known.
Additional Information: Use this section for Additional information relevant to the transaction.
Funding Information: Provided for department use. Funding is updated on line by department personnel not HR staff.
Hours for Affordable Care Act Eligibility will be based on Actual Hours Worked
Employee Oath: All new hires must sign the employee oath in ink in the presence of a notary public before they may be placed on the payroll. After reading the oath aloud, the employee should sign the employee oath section of the Hourly Student Appointment Form (PER-40). The statement cannot be altered by the employee. The notary also signs the Employee Oath Section of the PER-40, completes the expiration information, and affixes his or her seal in the space provided. If a student employee has a break in service of one day or more it is not necessary to have the employee retake the oath upon reappointment. The initial oath on file can be used.
Hourly Student Certifications: (Appointments Only): Since it is important that hourly (undergraduate) students understand the terms of their appointment, they must sign and date the Hourly Student Certification when hired.
- Employee's Signature: (Required on Hires) It is recommended that employee signatures be obtained on all personnel transactions whenever possible to ensure that the employee is aware of and understands the information that has been completed.
- Signature(s) of Unit or Department Head, Dean, and/or Vice President: Contingent upon internal procedures, the Unit or Department Head, and/or Dean, Vice President, etc., signs and dates the Hourly Student Appointment Form to signify approval of the appointment.