Request for Student Work Permit

Hiring Department:*

Hiring Department Address:*

Student Name: (Last, First)*

Student Wildcat ID (WID):*

Position Type:*

hourly

GTA

GRA/GA

other

Effective Date:*

Department Contact:*

Department Contact Phone Number:

Department Contact Email:*

Please note that students cannot exceed 20 hours per week during the fall and spring semesters.
Student employees must be enrolled in a full course of study in the fall and spring semester as defined below.

Undergraduate	12 credit hours
Graduate	9 credit hours
Graduate with a .4/.5 assistantship	6 credit hours
English Language Program	18 credit hours

Request for International Students with J-1 VisaOn-Campus Work Permit