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Student Worker/Tutor Authorization Form
Last Name: Martinez First Name: Rebecca Middle: ~~~------- ~====-------- --------
SSN: Department: -,C",a",IW=or",k.:;..s ___ _
Assignment Type: III Student Worker DTutor DOther: ______ _
Fiscal Year of Work Assignment: 2013/4
Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week.
IZlStudent D Not a Student Verified by: _d_s _________ _
Is this person currently employed, or has been previously employed by College of the Desert?
DYes IZlNo
Start Date: 11/25/2013 End Date: 06/30/2014
Hourly Pay Rate: $8.50 Max Hours Per Week: _1_5 __ Hours Per Day: VARIES
Commen~: __________________________ _
Additional options available for Supervisor: D May have possible SaVSun assignments. (Not to exceed weekly max)
DWhen School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds)
D When School IS in session, student may work additional hours. (Special Circumstances Only)
Notes: A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior to proposed schedule change. International Students may NOT work more than 20 hours per week when school is in session.
Pre-defined Account Codes: DNone DASC: 11-562-000-0-6110-0000-2304
o ASC: 11-562-0000-0-6110-0000-2301
o ACES: 12-575-0101-0-6300-0000-2304
o DSPS: 12-545-0101-0-6420-0000-2304
o EOPS: 12-586-0101-0-6430-0000-2304
o MESA: 12-745-0101-0-1901-0000-2304
o TSD: 12-547-0101-0-6300-0000-2304
o ETRIO: 12-573-0101-0-6300-0000-2304
IZl Financial Aid: 12
o Financial Aid: 12
0108-0-7090-0000-2301
0103-0-6460-0000-__
The following budget account codes will be used to furnish all wages associated with this
assignment.
FUND SCHOOL RESOURCE GOAUFUNCTION OBJECT PERCENTAGE
TOTAL PERCENTAGE
NOTES: Students must report to the Human Resources Office to complete the necessary personnel ronms prior to beginning their assignment. The student will NOT receive payroll warrants until all necessary paperwork is filed with H R and Payroll.
Prepared By: ___________ _
Last Name: CASTRO
Middle: 'SEVERO
Student Email:
Assignment Type:
",. Student Worker
r. Tutor
--- -- ---------SSN:
,\ Other -- ---- --------~~==-J Fiscal Year of Work Assignment: 2013/2014
First Name: ARTHUR
Department: PEl Athletics
j • I " i Student Phone:
(\ . V\\ j \'--/
Durillg the FALUSPRING Semesters, the student 11I11St be enrolled ill at least 6 to 12 IInifs alld work no more 20 hours per '(Jeek.
Please verify:
'" Student r. Not a Student
Verified byJ:)_S __
Start Date:
Hourly Pay Rate:
Hours Per Day:
Pre-defined Account Codes:
$8.50. ______ . ______ .... _
VARIES
C: None
r. Academic Skills Center
(i: Financial Aid
Is this person currently employed, or has been previously
employed by College of the Desert? rYes
rNo
End Date: 16/;0;20~~ \ - -----------
, Max Hours Per Week: 115
I
j>r"p.."r_"dlly: _____________ _ iDIEDRE SHARPE
n 12-1 - - --- 1-0108-0-7090-0000-2301 ~-=-~~=_ % - Fed Work Study $
{;;; n-I -------l-0103-0-6460-0000-1
n 12-488-0101-0-0801-0000-2301
100
The following budget account codes will be used to furnish all wages associated -with this assignment. ------ ---------------
-- -Fund __ ::_~-_ -School - __ J1_e~oi/ii;e - --_- '(e~r~ :-:--~i;_(Joil/u~ci/~ii_ ~Obje~! __ -:~~Perc~ny.'_Q~~ -----~ ~Specj"alPjogiqm -
-' ----, I i i • ---- ---- -- -- ---------- -----------
TOTAl. o ] %
Students must report to the Illlman Resources Office to complete the necessary personnel forms prior to begillning their assignment. The student will NOT receive payroll warrants III/til all necessary papenuork is filed with HR alld Payroll.
I ~ ~- ~ ---~- - < ~~---~~-~~-~~~---~-
,Ken lira
I (%~12J~2tlte11P~{;~:JIS!L3 Approver 1:
Approver 2 (If needed):
Student Worker Tutor Form - DAmANFULGHAM42337247:l
Last Name: !FULGHAM --
Middle: SSN:
Shldent Worker/Tutor AuthOlization Form
First Name:
Department: ,-./
DAJUAN;====-~ I~E/Athletics
Page 1 of 1
t.,.J--------~"
Student Emai
I" Assigrunent Type:
~ ~- StudentVVorker
StudentPhorie:~t_'~-=------L_' ____ ~~------l_.' ___ ~
C Tutor
Co Other
Fiscal Year of Work Assignment: !?013j2014 ._ -- --t..----"
_ f.;'"j
Dilling the FAWSPRlNG SmmrffS, the sfud.:.-nt mllSl N rnro1/td in lit iNsl6 to 12 units and uwkno mOTe 20 hoUls poT uwk.
Please verify:
~o Student
Is this person currently employed, or has been previously
employed by College of the Desert?
C Not a Student eYes "~"---
Vedfied by 'DS __________ _ ~;No
Start Date:
Hourly Pay Rate: !$8.50 Max Hours Per Week:
Hours Per Day:
{I. Comments
;VARIES E~~pa,red Byx-:~ __ DlEDRE SHARPE
a Special Instructions
Pre-defined Account Codes:
o None
C Academic Skills Center
~ Financial Aid
'-OlDS-O-7090--0000-2301
~ 12- .{II03--O---646O-OO _____ ~
C 12---4SS-0101-O---OS01..oo:lO-2301
(--~ _ .,%-FedWorkStudy$
\100 __ % + Alwruu $ 2.500 ~ ,
~--!% -CalWORKs~}~; __ ~_J
The following budget ao:-ountcodes will be used to fumL'<h all wages assodated with this assignment
Re50tlrce Yc(}r Gool/function Object Sped,,/ Program
~"-' -.--, _~ __ ~ ___ J
TOTAL
fa Insert Additional Account Code
Sludrn!s must 1<pVr1 10 Ihe Human RC5()wUS Office 10 complete the nectS-.<ary p<7sonnei forms priVT tv beginning their Q5..<ignmmt.
The student will NOTTUfivep::!yroll truTTanls until all nm'$.<fiIYpapmroTk is film .. :ith HR and Pa!fToll.
------.')
!Approver 1: i IApprover 2 (Ifneeded): l ________ __ m:;aL.~ ~/tft3 ~~
"~-"--~P44J41
Student Worker Tutor Form - V ALERIAGARCIA603684991 Page 1 of 1
Last Name: :GARCIA
Middle:
Student Email:'
Assigrunent Type:
(i" Student Worker
C Tutor
SSN:
-Shl~e_n_t_v_V_o_rk_e_r!T_'_u~tor AF::~:::tion __ :_O:~~L~E~RIA~-~=_:~_::~:~_~_~_~~~---------Ii1-T-_-~;_-_' _ 1,1_ll
i . Department: [ChHd Development Center _ -. .
'-'_.';
Student Phom
~-------,. ------ -------. C Other~ __ . __ .~!
Fiscal Year of Work Assignment: ! 2013/2014 -- - --0 _____ ili
During the FAL1JSPRING SemeslffS, Ih.e student 7r.U5! N enrolled in Q! l(lISt6 to 12 WlUsl1Jld UXiTk no moTe 20 h01lTS per rre .. k.
Please verify:
{i Student
C Nota Student
Verified by iRAC:::-C-=C-=QccUE=L-=p"CARA=-<-=G:CUccA--:CSCHOEN!'IlI:D _ I
Is this person currently employedr or has been previously
employed by College of the Desert?
eYes
~ No
Start Date: \11/4/2013 -l§ End Date: !6/3O/2014 -'l§ ~~-----~
Hourly Pay Rate: '$850 '---'-------- -------' Max Hours Per Week:
r!,~p.~sl_"_B"_y,.:'--___ ~ ________ _ :l'l':CQUEL P ARAGU:.:A-=-S=-C=H:c0=-E=NF=E:.:L=D _____ _
Hours Per Day: ivARIES ,
a Comments
u Special Instructions
Pre-defined Account Codes:
Fund Sd-,*,
!12 ;488
[33 n6
~, None
C Academic Skills Center
C Financial Aid
Th~ following budget account codes ,vill beused to furnish all wages assodated with this assignment
Re$(Wf(;e Object Perunfege Specie! Pregrem
P101 j2301
~31
TOTAL 1100
6 Insert Additional Account Code
$t!ldrnls must Tepctrl to the Human Re50Wa5 Office 10 complete Ihe r.ereswy pirStJnJld forms prior tD h.:ginning !heir assignmrnt.
!Approver 1: i !Approver 2 (If needed):
The sludrnl will NOTrurive pi1YTDII UWTlmts until all neussarypapmwrk is fil<:d with HR and Payroll.
~~~a~m~!~L~"~Q~"~'d~'~;:::::::::::::Jl V ~ fDianne Russom; lllm
"
I
http://carnpus.collegeofthedesert.edul dIhr/ _layoutslF ormServeLaspx?XmlLocation=/ dIhr/... 10/31/2013
$~"'i~: COLLEGE _~.j1 t£(DESERT Stud;),,! Worker/Tutor Authorizn'tioll Form
Last Hi!lme: !Luscombe-~
SSH: 1----------'
Assignment ,)'pe: 1';] Student work.r[]Tutorl] Other
F:lrst Name IMichael- ---------
Deeartment ICounseling
l/otes:, Durin~1 thel rALUSPRING Semesters., the student must be ,entailed! in ,at Je-ast >6 tOI 12 u.nits. and· ... ·/orf( no mor,e 20' hours, per w'ee-f:.
[J StudientO Not a st~d:~nt ,
!Is this ,person currentlj' emplo~.leC:, 'or has- bee'n p,revlo·ush' ,employed by C'ctlll!'g.t! o-fthe: Desert?
C:lYr.!SCi No
Start nate:
Hcur,1y Pa,J.1 Rate: i.lax Hours Per We.ek:
Comments:
Additional op,tions aV.:.'Irtabte' for Sup,e'rvison r.lay ha'{·e possible SaUSun, a.ssignments. (r'J'ot to. ·exceed' '.nel:ly max) Il\(h·en Schoolls. tWTin, s.ess.'Ion, student 'rosy'work ,additIoMI hours, (J.1ax 40 ha,u.rs.!'c.{)n,tingen,t on Funds) lNllen School IS in, ses,S:lon, student rna)' ".· .. o,rl; ,/'lcrcitioi1~1 hcurs., (Spe'c161 Clrcumstan.ces 'Only)
Hours Per '~y:
No,tCJs: A reques.t for -od!ditl(,l nrl'111oun .. mus1 bo' s,ubmillc'di to, 1he iHu.rrmn Re9O-Ur,O~E- Office by tl1", S'Up~r'Jisor ,one- month priol' to, !l,rop.osc.·C,I s,ch,ecule chan.ge, ,lntenHI1.!orWI :Stud;;:nls may NOT \,',"ork more tluin 20, houns, per week wilen ':1chooI15, in. session,
Pr,e~defi:ned! Account Cod-es~
o No'n,e
[] ASe: 11-$2-000-0-<111 0,-00 OO'2,O~
o ASC,; 1-1...s£-2~O 0 OO'M0--611 o'~a 00 O~2~O 1
[]ACES: 12 .. S7S~O'1 01 "O-S~O a~OO,t}D'",230~
I)S:PS: '12-5045-0'1 O'1,~O'~:2.0-o-0 0 0-23Q4
DEOPs: 12·$!lP-0101-0-S43D-OOOO-2304
D ),tESA: 12-i 45-010'1-0-1 SO 1-00 0 0-230.
[~:TSD: 12-S~7.01 01~0-a300-0000-2304
ETRIO: 12,·573-0'1 O'1~a'·~300 .. 0a D'O .. 23U4,
[] F'inl.lncisi Aid: 12- ' -'0'1 O.s~OM1'.o-90'~OOO-0-28-0'1 'F-Ii!d 1/II'ork Study%: 10 Finan cia,1 Aid; 12- :""""""'"""'''''''''''''''''', -o-'j 02-D~4150'-Oaa- ' "",""",-,,,,,,,,,.,.,,,,,,, ,A'luml1.1 %: ;','(}:o.""'"
li"i'FII1<3nCiaJ Aid: 12-48.8-01 01-D'-OM1-0'OO'O-23Q-1 caP;;.JO'RKs- %1-----': Dollar
'Oo.llsl' Amt: ;;;-/1 t/r 3
The 1011:;),win.g:,i)l,I,dget,llcoount co·des, '.'.1 II! be'u':.';ed to· furnish,a.U '."I,ages asaooi19tedl with tills £S-SI.Q!nmen'i'lc-' -;:;;-;;-;--,---~:-;::m;~---r----;::;:;-;-;:;:O;:---'--~Mrn:;;-;:-;=---I :1 fUND .1 SCHOOL :1 ~ESOURc!E ,.c:K:r_..::G::;,O;.:A:::l-_+--..:f..::, U::.:N.:::CT.:..I.:::O.:::II ___ ~-----'O::;a.::I:::ECT~.'----I_-....:..PE::R;;:;c::;E;::.I.n;:::/;;:;'G::.Ec-. __ I
"I 'i6,n-j II J ,ro---I
''''S't~''d·;;~;'t\~i;;r'k~'~rr~'t~";·'A·~'th'~.'~'i'~~:ti~·'~""F;,~'~m"'"'"'"''''
Last ~Iame: i Ijq.~_g_~s
SS1-I:
As.slgn,ment T:,.,p-e: 0 Stud'ent 1N,a-rkewOTutorD Otller'j
Fis ca,1 "(ear 0,1'/,;'0 rk Assig'n ~ent: [~6\~Z{~:J
1
First 1",1 t"l me
Note's: iDurln,gl the FAWSPRlI'1G Serres.ters. th,€" stu,dent must be e-nrolJed In at least 6 to 12, units ~:nd! w,orf:: no more 20, h ours per .... ',ee'k.
GZJ Stu,d.e-nt[] Net tl Stu-cent
Is this persl?f1, currently ,employe,d, 0(' has !been pre~;riolJsly ,emp,Joy,ed b~.' ColleQ,e o.f the Desert?
DYeqs.G2]No
Sts rt :C'ate: 101/23/2014 'End; Date<: IOGi30i2014
Co rnments.:
Addftlonal ,optto[:],s avalfabre for Sl!I)O-en.ri's,or: r-~] [,lay hav,e possU:::Je Sst'$un assignments. (Not to e:.::cee,d: weeklj.' m8JoJ:} r~J V~,'hen $cho,olls iN,O:r In,.session, stu,dent may "'lork :a,dd,ltiona! hcurs. (M'ax ~D 110u.r.s/C,cntingent en, Fuh,d,S.) CJ V,lhen $0110,0'1 IS in: se,ssion, student ma.'./ '.".',ork a,edltiona! hours_ (Sp'eoiai Circumstances, Onl~.r)
-;
,rlote's~ ,t... re.~'ue-,st for 1:\'dq!t:icnal ,hours. mus,t be ,s,ubm!tte,d, to' the Human, ,Resource-s. Office: by the Super .... lsof ene: month 'p'rtor to- Ipro'p.(l.sed schedule change, !nternation_81 Stu·dents ma,y t'lOT ',''''orl-~ mor,e than 20' h,Qurs, per w,ee-k .. • .. h:en. schoo,l is ill sess,IOJ1.
Pre-defilfl-e'ct Ac,count C.odes:
Dr'lon. D ASe: 11-=-52-00 C-0--e.11-Q--C C 0 0-2:30'';
O.A.5:C: 11-S>S-2-0'OOO-O....s11 O:-OOCO'-2:-W1
L.-J'.4;CES: 12-57S-C1IJo1-0-&30 O~o-O 00-23,0'""
[J DSPS: 12-S~.s-01 o-1-0-S¢:20~OO,Oo--23C,4
[J ,EO PS: 12-5130,-0-1 '01-0-6.:.2 0,-0 0 00-230'~
[] 1'.'ESk '12"-74f,· ... 01,O 1-0-1 BO"l-COOO-22.04
CJ"7SD: 12-547-01 1;'1_Q....6:3-0 0-0 00 0'-23,0-':;
[J E7RIO: 12-=.73--0'1 ,0 1-0·-i2~O 0'-0 a 0 0-23-0A
(
o Fln.ancial Akt 12-, O,8-0'-7o-S-0'...:OOOO-2'z'C1 Fed Vif,ork Stud'y%: "" Dollar Ann: t. ._.,1; Flnan,cial Aidl: 12:-: 1-0 1 Q'2.-0-e,~60-001J- , 1·.Li.JlJmni %: i ! Dollar Ann: ::-'"=;;;;;="
[J Fin,iJ,n,cia! Aid: 12'-4,EJ3-0 1 0-1-0-0801-0000·-22,Qo1 C,allNORKs % !.-,-:--.-. -" '---·jGOlla.r Amt:~,~----'-'"
uhe follo,wing, budg:et ,accoun,t codes ',",'il!.be used to furnish, all 'o',',ag'es. assoclatedl ',"/ith :this, ass'ign.me'n't.
I 'Furw I SCHOOL ,I RESOURCE I PR I GOAL
II 1 'I ilo II II 1 :,/ 0 11
FUtJCTrON 080ECT I PERCENTAGE
rnoo
,0000 12301
12301 150~c.
I 70TAl PERCHJTA-G~:llOO~;'~,:_
~>4ent Worker/Tutor Atltnorizatijon Fonn
leroueh ',--_ .. " "-':-... _--_ .. -., ____ .1
SSN':
Assignment Type: 0 Stud ent V,lo rf:er d Tuto rOO tiler I,
Fls-cal Ve'ar o,nVork Assignment: j2013/4 "1"' I
.F.irs~ Name i.1iddJe
ne~,~,rtment lq~_~.!,~ ".g,~X.~Jge.~.~D,~ ... q~,~~L"_,, __ ,. - I
note 5i ~ Du rJn.g th e FALL/S.pRING Seme'sters, the stu,dent must be en ro Uedlln. at least e to' 1 '2: u n,lts and "',' 0 rk no, more 20- ,h ours per ..... eel1:.
0StudentO Net Ia. Student Verified~ 8·).":
Is this pe,rson. cu'rrentJy employed:, or 11;!l,S be-e,n ,previousljl ~-mp'lo.::f~<f 'by Cc·llege o-t the ine<sert?
DV:~s0t·jO
. Sta rt Date: End.Date: Ios73Ui2ii:J4-"--"--"] L~.2...,--L: _______ _
Hcurl:_' Pay Rete: 1.8.50 !t.1ax H,c u-rs Per 1Neek: !2'-()----
Adclitronal {)pti:ons. avaitabte-for .s.upervi'sor~ 0' r.18Y IUlv,e po,sslble Sat!S!Jn, 3.s.signments. (I",[,ot to exceed! weekly rna:,,; L.J V\I'.tlen Scho·ol is NOT \01 s·es.s-Ion. :s.tud.en;t may work ~·d:c:frt:ion 81 hours,. rJ.111x 40 h·QurslCentlng,ent D·n FUD-ds) o 1/r!'h:i!n 'School IS: 1n s.es.Sio,n" student may .... 'crk 8ddiflonal hours. (Sp'eci:31 Circumstances Only} ,
Ho'urs Perna:y; ;Varies -----'------,
.;
r-Jotes.: A re.q,uest for a-d'drtion,al hlJur.s -must be .s.ut:-mftted to, the Human Res·ourees, Office by 'the .super,'lsor one montll prlo-r to :prc-~,o.s.e<r sche-c:uje cI1a-nge. Intern-atlenal Stu,dents. may NOT ..... 'ork more< than 20 11eu~s- ~,er ' .... ee-1: '.·.':Ilen .school' Is In .3,e5s'lon.
P"1'e-defirl€-d A:o·cQ·unt Codes; ~j'cne
o .t.;SC: 11-SE2-0 0 01-0'--611 0'-0 COO'"22,0-,;,
;_J.ASC: 11-=,52-00'00-0'-6110-0000'-2301
C] ACE$.: 12_575-011'01_0-'8:300_Cl-O'DO_23.D'4
C] DSPS: 12:-~,~5--0 1 0"1...,0-0';2'0-00 C 0:..2304
DEOPS: 12-'Se2-01 O'1-0~43C'-OOOCc.2."2.C4
o 'i.1ESA.: 12-7~5-G1 0'1-0-1 ,9-0:t-,COOO .. 22,n.:;
r"'! liSO: 12-S47 -0"1 0 1-Il-83-0 O~O 0 00-22-04-
DEliRIO: 12-=,7-2-010'1':'0-63-00--0 0 CO-23·0~
O'Fin 3ncliltl A,ic: 12- 0' -"-'--"-=: -0 1 OB-0-7-0'.s-a-cCOO'-2:~01 F·eo ~N,crk Stu.::fy~,,;;; i I· no·He r Amt
o Flnancll!lllAfdi: 12-' i -Ol"n2~O ... r;:4eO-oac·- i i Alumni'o,'C:; ~I ='-'-'-, 'leo liar Amt: -'=-"-'-~-o Fin anci;!l.l Aid!; 12-:!S.s:..O-1 0 1-0-0BO 1-0000--2'"2·0'1 Carr,\,'ORKs, ~,~;I :Dc,IJBr Amt:
'She fiolllC:'I','in gl cudget account codes '.·.·111 be uls,ed: to· fumis.h ,all ":";.'I.ge.s· a,$,sodated '.· ... ith thiS, assignme'nt
1 FUND :1 SCHOOL :1 - RESOURCE 1 PR '1f7::::::::G:=O:.;A:::Lc...-!IIf7:::::::::-.::F:::U:::N:::C:;;T.:;IO:;':;:..-I __ -;f:1 =:::-_-,o:.:&J,,-:.:;E:::G:;;T ____ +:I =::-.:;P.:;E:::R:;;C:.:E",tl:;;T:;;A:;::G:.:;EC-_.,1
112 11488 ·0101 .F' :r::l~10::-;5:-__ +I()::-;G:::O~O ______ ~I_~I23=o'::-1 ______ ::r:15~O";%=-____ --'-11 133 'I~o '10,331 0169'20 joooo :1230.1 :ISG% .11110 I I 'I 'I
;1 1110 1 III I- TOTAL PERCE,rrAGE 1 00%
- .. ----... ---------------~--- -------------'SCHARFF ... ______ ! !Alexandr(i Last Nanle: First Name,
Middle, r,-.-.-.-.-.. -.--I SSN', '---------------~] . Department: ~utoring Center
Student Email:i~_~~-_=-__ .
Assignment Type:.
('\ Student Worker (0:. Tutor
Subject: I~i<)~ ___ ' _"._ .. -=-_~~~_~ __ GPA Yes 0 NoD Verified:
() Other C==._-------] Fiscal Year of Work AssiglUnent: 2013/2014
, Student Phone"
----------------~
._.1
Duri1lg Ille FALUSPRING Semes/m;, Ole stlldent nil/sf be mro1fed III III /(M/ 6 1012 WlitS fll/d It'ork 110 more 20 hOllIS pu 1twk.
Please verify:
(0' Student
Is this person currently employed, or has been previously
employed by College of the Desert?
() Not a Student r-------
.! ('\Yes
(0' No Verified by !mr
Start Date:
Hourly Pay Rate:
Hours Per Day:
Pre-defined Account Codes:
End Date: r---- ---.. ----- .. --.... -.---..... 6/30/2014 C_. ___ ._. ____ .. _.' _. .... .
. j Max Hours Pel' Week:
------------------------------------"--. -
o None
(i) Academic Skills Center
R1 ASC: 11-562-000-0-61100000-2304
Rl ACI!S: 12-575·0101·0·6300-0000-23<».
o EOPS: 12-5SMllOl-Q.<;43!J.W()()-23OI
Ri TSD: 12-547-0101-0.6300-0000-2304
f0 HSI: 12-508·0101·0·6400-0000.2304
() Finoncial Aid
D ASC: 11-562·0000·0·6110·0000·2301
Pi DSPS:12-545·0101-06420·0000-2304
Pi MESA: 12-745·0101·0-1901·0000-2301
Pi TITRIO: 12-573-0l0H).6300-0000-7304
The follOWing budget ac<ount codes will be used to fumlsh all wages assocl~ted with this asSIgnment.
~f~u~'f;~··f2(~:~Q~j-:,~?~~~~·;j~~~rcG:«i~~:~~j:l=~e>l-rFf~~k]:t~f:=~!~i~lf/B~~~-~~
.TI)~~' __ lC-.~L% __ _ Sflldeuls Jllllsf report to tile }II/mml R($OI/rc($ Office to complelt IItt IUUSStlry pUWJlIIt'l fomls prior to btgill1lillg ,I/elr m:sigllNlml.
V't sll/dm' lOiII NOT Ttuiw pi1yrolt nVlrrllllll1l11Uil 1111 UiCi$$(/ty pnperuwk is filed with HR and Payroll.
Approvel' 1:
. Approvel' 2 (If needed):
Last Name: First Name:
Middle: c-:------- I Department: Tutoring Center
Student Email:====-~ __ - I Student PhonE
Assignment Type:
o Student Worker
® Tutor _Subject: [Musi~-
------ ~ ------------------CPA Yes 0 NoD Verified:
o Other C--==-___ __ _J Fiscal Yearof Work Assignment: 2013/2014
Please verify:
@'Student
o Not a Student
During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 unUs and work no more 20 hOllrs per week.
Is this person currently employed, or has been previously
employed by College of the Desert?
<!' Yes
Verified by 'Im-r------_~~~~~ ____ _ ONo
Start Date:
Hourly Pay Rate:
Hours Per Day:
Pre-defined Account Codes:
Approver 1:
1$9.50 Max Hours Per Week:
o None
'8 J
® Academic Skills Center
o ASC: !1-562-OOO-0-6ilCJ-0000-2304
o ACES: 12-575-0101-0-63OO4JOO-2304
o BOPS: 12-586-Q1OJ-Q-<i430-0000-2304
o TSD: 12-547-0101-Q-6300.oooo-2304
o HSI: 12-508-Q101-0-6400-OOOO-2304
o Financial Aid
1 .prepared By:_ iTerri Fleck
D ASC: 11-562-0000-0-6110.0000-2301
o DSI'S:12-545-0101-0-6420-0000-2304
o MESA: 12-745-01014)-1901-0000-2304
o BTRIO: 12-573-0101-0-6300-0000-2304
~~14
120
The following buaget account codes will be used to furnish all w~ges associated \-vith this assignment.
Students must report to the Humml Resources Office to complete the neces;;ary persOl~nel Jomts prior to beginning their assignment. The student will NOT receive payroll warrants until all neceSSflry paperwork is filed with HR an.d Payroll.
\Chri" N.,!;;on _
Approver 2 (If needed): I c.. rll'hIllip" - I~!~h~--~'===================================
otAJd1 ~~~CRECEIVED NOV 192013
Student Worker/Tutor Authorization Form
Last Name: _W_o_o_d~~~~~_ First Name: -,-N-,-ic-,-h:..:o-,-Ia,--s~~~~_ Middle: _____ _
SSN:~~ __ ~~ __ _ De partment: .T",A-"S",C,,-~~~~_
Assignment Type: DStudent Worker IZlTutor DOther: ~~~~~~_
Fiscal Year of Work Assignment: 201314
Notes: During tha FALUSPRING Semesters, the student must be enrolled In at least 6to 12 units and work no more 20 hours per week.
[ZI Student D Not a Student Verified by: _m_r~~~~~~ ______ _
Is this person currently 'employed, or has been previously employed by College of the Desert?
DYes [ZINo
End Date: 06/3012014 Start Date: 12/02/2013
Hourly Pay Rate: _9_.5_0~_ Max Hours Por Week: _2_0~~
Comments: Phy Geog Tutor
Additional options available for Supervisor:
Hours Per Day: _8~~~
IZl May have possible SaUSun assignments. (Not to exceed weekly max)
DWhen School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds)
DWhen School IS in session, student may work additional hours. (Special Circumstances Only)
Notes: A request for additional hours must be submitted to lhe lluman Resources Office by the Supervisor one month prior to proposed schedule change. International Students may NOT work more than 20 hours per week when schoolls In session.
Pre-defined Account Codes: DNone IZlASC: 11-562-000-0·6110-0000-2304
o ASC: 11-562-0000-0-6110-0000-2301
!ZIACES: 12-575-0101-0-6300-0000-2304
!ZI DSPS: 12-545-0101-0-6420-0000-2304
o EOPS: 12-586-0101-0-6430-0000-2304
!ZI MESA: 12-745-0101-0-1901-0000-2304
!ZI TSO: 12-547-0101-0-6300-0000-2304
!ZI ETRIO: 12-573-0101-0-6300-0000-2304
o Financial Aid: 12
o Financial Aid: 12
0108-0-7090-0000-2301
0103-0-6460-0000- .
The following budget accoun t codes will be used to furnish all wages associated with this assignment.
FUND SCHOOL RESOURCE GOAUFUNCTION OBJECT PERCENTAGE ----
TOTAL PERCENTAGE
NOTES: Students must report to the Human Resources Office to complete the necessary personnel forms prior to beginning theIr assignment. The student will NOT receive payroll warrants until all necessary paperwork fs med with HR and Payroll.
prepared8Y:~ __
x
/
Last Name: MAKINO ------
Middle:
Student Email.
Assignment Type:
n Student Worker
(i'Tutor
Subject:
GPA Verified:
n Other i
,------IJapanese
YesP Nor
SSN:
__ JJ. ___________ _
Fiscal Year of Work Assignment: 2013/2014
First Name: iDaichi
Department: Tutoring Center
Student Phone
,/ ,
During the FALUSPRING Semesters, tile student 11I11St be enrolled ill at least 6 to 12 units fd-tOO no lIlore 20 110IIrs per week.
Please verify:
(i Student
n Not a Student
Verified by -ss
Start Date:
Hourly Pay Rate:
Hours Per Day:
Pre-defined Account Codes:
Is this person currently employed, or has been previously
employed by College of the Desert?
n Yes -------------------- ,
$950 _
8
C None
(i Academic Skills Center
P ASC: 11-562-000-0-6110-0000-2304
PACES: 12-575-0101-0-6300-0000-2304
E'" EOPS: 12-586-0101-0-6430-0000-2304
P TSD: 12-547-0101-0-6300-0000-2304
i;ij HSI: 12-508-0101-0-6400-0000-2304
n Financial Aid
I (i No
End Date:
Max Hours Per Week:
_ Prep_ar"d-'ly: __ iTeJTi Fleck ___ _
r, ASC: 11-562-0000-0-6110-0000-2301
PJ DSPS:12-S4S-0l01-0-6420-0000-2304
E'" MESA: 12-745-0101-0-1901-0000-2304
E'" ETRIO: 12-573-0101-0-6300-0000-2304
:6;~0/20~4
G;-I
The following budget account codes will be used to furnish all wages associated with this assignment. - --------- - -- --------
-Fund --- School: ~---:~-:~R.~squf'e ~- __ Yeof-- ~~~~-~:_:~Goiil/F.-mCifon ~---_ ~::~--Ob]eit :-J!er.re(Jtgg~ :--- -- --:~J!._~c~ai P!ogrom-----[-----
I
TOTAL o
Students must report to the Human Resource-s Office to complete tile necessary personnel fomls prior to beginnillg their assignment. The student will NOT receive payroll warrants until all necessary papenvork is filed with HR alld Payroll.
I\pprover 1:
I\pprover 2 (If needed):
Last Name:
Middle: [SHEREE.
Assignment Type:
(0:, Student Worker
e Tutor
e Other , ____________________ _
Fiscal Year of Work Assignment: 2013/2014
First Name:
_~~~-~, _ 'epartment: Career Center
Student Phon,
During the FALUSPRING Semesters, the student must be enrolled in at least 6 II> 12 units and work no more 20 hOJlrs per IOCek.
Please verify:
"" Student C Not a Student
Is this person currently employed, or has been previously
employed by College of the Desert?
eYes
Verified byl '-d_s _________ ~ ______ _ (0, No
Start Date:
Homl)' Pay Rate:
Homs Per Day:
Pre-defined Account Codes:
End Date: :6/30/2014 l
1----- --- ----- --'
Max Homs Per Week: i15
.. ----j
!varies -------: Prepared By'-':_-'---_. ____ _ ,Diedre Sharpe
C None
C Academic Skills Center
(i: Financial Aid
M 12-1 '-l1108-O-7090-0000-2301
r 12-l ___ J-0103-0-6460-oooo-L
C 12-488-0101-0-0801-0000-2301
_ J
~~=:_:=:..::J% -Fed Work Study $
j4,000.00
L _____ ~% - Alumni $~ ___ ~ ,------.---, 1 , :% - CalWORKs $I'----__ --.l
The following budget accotmt codes will be used to furnish all wages associated with this assignment - . - - - - - ----=--'=--=-.-=-= " =-- __ -=---_"---__ ---=c=-~-===___=_=_=,~
.:: Fund~_~o:;~SchDA/~_~~~~-- to ~~f~~~ff:X~~~Sc{~~J!!~~_i!~~n~~~ ~~~~c&l~it!~!!-~r~~lftl!Q~~~"_ :r~1~~~~@-f-£~flid§L~:; 1 %
TOTAL;O % ---- ------ ---------------'===~--------
Students mllst report to the Human Resources Office to complete the necessary personnel forms prior to beginning their assignment.
The student will NOT receive payroll r.varrants until all necessary paperwork is filed wUh HR and Payroll.
Approver 1:
Approver 2 (If needed):