Student Update Form - Executive Office Shared Environment

Preparer Information

Preparer Name(Required)

Your name

First Last

Preparer UW Email(Required)

Your UW email address

Alternate Contact

In the event of your absence, who should be contacted?

First Last

Alternate Contact UW Email

Alternate contact's UW email address

EO Assistance(Required)

Did you consult with or receive assistance from an Executive Office Shared Environment team member prior to filling out this form?

No

Yes

Team Member Name

First Last

Student Employee Information

Student Employee Name(Required)

First Last

Student Employee Email(Required)

Student Unit(Required)

AP Sub-Units(Required)

ASA Sub-Units(Required)

DCCS Sub-Units(Required)

HSS Sub-Units(Required)

PRES Sub-Units(Required)

Action Request

Employment Changes(Required)

Extend Employment

Change Payrate

Extend Employment WITH Payrate Change

Work Study(Required)

Is this student currently in a work study position?

No

Yes

Current Employment End Date(Required)

Proposed Employment End Date(Required)

No more than one year beyond the current end date.

Current Hourly Payrate(Required)

Proposed Hourly Payrate(Required)

Effective Date(Required)

Date of payrate change

Justification(Required)

Provide justification for these changes to this student's employment.

Documentation

Upload any documentation that would be helpful to EO HR team when reviewing this request.

Drop files here or

Accepted file types: doc, docx, pdf, jpg, jpeg, xlsx, xls, Max. file size: 15 MB.

Additional Information

Provide any additional information that would be helpful to EOHR Team when reviewing this request.