Additional Student Work Hours Request Form

Step 1Request Information

Step 2Complete Submission

Step 3Finished

Request Information

NOTE: This form is for undergraduates only. Graduate students should consult their graduate program directors for questions regarding work hours.

Undergraduate and graduate students can work 20 hours per week while enrolled in a full-time course load. Requests for students to work beyond the recommended 20 hours per week while enrolled in full-time course load will be reviewed on a case-by-case basis and via submission of this request form to the Office of Student Employment.

A student may not work in excess of 20 hours per week unless an Additional Student Work Hours Request Form has been submitted to Student Employment to be reviewed and has been approved.

Requestor name

Department name

Line manager name

Student name

Student Ignite Person # (or BUID)

Hours per week requested

NOTE: Requests may only be submitted for one semester at a time.

Start date of exception requestmm/dd/yyyy required

End date of exception requestmm/dd/yyyy required

Provide a brief explanation for the request (specific reason for this student to work in excess of 20 hours per week)

AcknowledgementPlease check the box to complete your request:

I acknowledge that I have read and reviewed the Student Employment BUPP 121 policy.

AcknowledgementPlease check the box to complete your request:

I acknowledge that I have explored all other options to accomplish the work that will require this student to work in excess of 20 hours per week, and there are no other staff or student employee options available to fulfill this department need.