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Hourly to Work-Study Transfer Request Academic Year 2013-2014

* indicates a required field

* Student Name:

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

Student HRMS Employee ID. #:

* Department Name:

* Contact Person:

* Email Address:

* Phone #:

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.

Fall 2013

* Pay Period End Date:(Check all that apply)
08/31/2013 Amount:
09/14/2013 Amount:
09/28/2013 Amount:
10/12/2013 Amount:
10/26/2013 Amount:
11/09/2013 Amount:
11/23/2013 Amount:
12/07/2013 Amount:
12/21/2013 Amount:

* Charge to:
(Do not include speedtype). If submitting a request to transfer suspense, Please, enter the correct FOPPS that the earnings are to be transferred too.

Fund: Org:
Program/Project:

Spring 2014

* Pay Period End Date:(Check all that apply)
01/04/2014 Amount:
01/18/2014 Amount:
02/01/2014 Amount:
02/15/2014 Amount:
03/01/2014 Amount:
03/15/2014 Amount:
03/29/2014 Amount:
04/12/2014 Amount:
04/26/2014 Amount:
05/10/2014 Amount:

* Charge to:
(Do not include speedtype). If submitting a request to transfer suspense, Please, enter the correct FOPPS that the earnings are to be transferred too.

Fund: Org:
Program/Project:

*Reason for Transfer Request:
Funding End Date was not updated, earnings set to suspense.
Employment End Date Incorrect.
Employment End Date Blank.
Work-study awarded after student hired.
Other (specify):

* You must notify the Student Employment Office by 6/07/14 if you want any hourly pay to work-study transferred for any of the pay periods above to charge in the 2013-2014 Fiscal Year.

If you are only requesting that our office transfer the employer portion (wsr or wsc) from one FOPPS to another, you must submit your request to our office by 6/20/14 to charge in the 2013-2014 Fiscal Year.