Salve Regina University
Career Development Staff

Office of Career Development

Location: Miley Hall (Garden Level)
Office: (401) 341-2913
Fax: (401) 341-2994
Email: career@salve.edu

Meet the Staff >

Work Authorization Form

This form must be completed for students to be placed on the student employment payroll. Paychecks will not be processed until this form and all additional paperwork is complete.

Section A: (To be provided by Career Development)

Amount of work study award: $
Category:
Rate per hour: $
Dates of Employment:

Section B: (To be completed for student)

First Name:
Middle Initial:
Last Name:
Phone/Campus Ext.:
Campus Box #:
E-Mail:
Salve ID Number:
Date of Birth:
Class Level:
Freshman
Sophomore
Junior
Senior
Graduate
Year of Graduation:
Campus/Local Address:
City:
State:
Zip:
RI Resident?
Yes No
Hometown Address:
City:
State:
Zip:
Home Phone:

Section C: (To be completed by Supervisor)

Agency Name:
Job Title:
Duties:
Supervisor Name:
Date:
Other Notes or Comments:

Reminder - no student will receive his/her paycheck until all paperwork is complete and on file in the Office of Career Development. Students will not be paid earnings that exceed the maximum amount above.

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