* Student Name:

* Student ID #:
DO NOT USE STUDENT SOCIAL SECURITY # FOR ID

Student HRMS Employee ID #:

* Department Name:

* Contact Person:

* Phone#: Fax #:
Campus Box:

Completion of this form does not guarantee that a transfer will occur. Transfer will be contingent upon availability of funds and student eligibility. You will be notified in writing whether or not a transfer is completed.

Be sure you check your PeopleSoft statements and your student’s payroll setup early to avoid incorrect charges in these pay periods.

Fiscal Year 2008-2009

Pay Period End Date:(Check all that apply)
05/16/09** Amount:
05/30/09** Amount:

06/13/09*** No transfers will be made for this pay period
06/27/09*** No transfers will be made for this pay period

Fiscal Year 2009-2010

Pay Period End Date:(Check all that apply)
07/11/09 Amount:
07/25/09 Amount:
08/08/09 Amount:

**You must notify the Student Employment Office by 5/31/08 if you want this pay period transferred.

*** Due to year-end close deadlines, these pay periods will not be transferred. Be sure you check your PeopleSoft statements and your student’s payroll setup early to avoid incorrect charges in these pay periods

* You must notify the Student Employment Office by 6/12/09 if you want any late pay to work-study transferred for any of the pay periods above to charge in the 2008-2009 Fiscal Year.

** Due to year-end close deadlines, these pay periods will not be transferred from late pay to work-study. Be sure you check your PeopleSoft statements and your student’s payroll setup early to avoid incorrect charges in these pay periods.