Student Employment Award Release Form - Macalester College

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Macalester College - Student Employment
Award Release Form
Full Release
Partial Release
I am changing jobs completely.
I am going to work in two departments.
For the Following Semesters:
Fall
January Only
Spring
(check all that apply)
STEP 1.
Student Name: _____________________________________ ID# _____________ Grade level: 1 2 3 4
Student: I agree to the conditions of this transfer.
______________________________________________________________
__________________
Student Signature
Date
STEP 2.
Current/Old Department: ___________________________________
Last Day of Work: ________________
Position Title
_____________________________________________________
(If Applicable)
Current/Old Department: Please Retain a Copy Before Returning to the Student Employment Office.
I agree to release this student to work part or all of his/her award in another department. I understand that I
no longer have responsibility to pay this portion of his/her award from my department student employment
budget.
****************************************************************************
Amount Released: $_____________ (If being released for both semesters, total will be divided equally unless
otherwise indicated here)
(from Current/Former Employer to New Employer)
____________________________________________________________
__________________
Supervisor’s Signature
Date
STEP 3.
New Department: _________________________________ Budget#: __________
Begin Date:______________
New Supervisor Name: _______________________________________ Supervisor ID#: _____________________
New Position Title: _____________________________________ Tier I
Tier II Level ____
Tier III
Pay rate: $_______________
__________________________________________________________
__________________________
Supervisor’s Signature
Date
New Employer: Please Retain a Copy Before Returning to the Student Employment Office.
I agree to hire this student for the amount listed above. I understand that I must have the funds available in
my student employment budget to cover these earnings.
_____________________________________________________________
__________________
New Supervisor Signature
Date

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