Student Employment Card

     All students who will be paid from the same account may be listed on the same card. Please note that this form is only to be filled out by the employer who is hiring a student. Confirmation of receipt will be sent to the employer within a week. If you receive no confirmation, please contact the Student Employment Office.

   A job description from the employer and tax forms from the student must be on file in the Office of Financial Aid / Student Employment Office before a time card will be issued. All completed documents (Student Employment Card, tax forms, and job description) must at the Office of Financial Aid ten days prior to the date for scheduled payment. Federal regulations require the employer to verify the student work schedule does not conflict with her/his class schedule and keep auditable records of the hours worked.

Department: Account Number: Processor (Employer) name: Processor Mailing Address: Processor Email:
Student 1 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 2 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 3 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 4 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.
Student 5 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 6 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 7 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.	Student 8 Student's Last Name: Student's First Name: Student's Middle Name: Oberlin ID Number ('T'-number): OCMR: Phone: Job Title: Pay Rate: I'm done. Take me to the submit button.