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.
Student's Last Name:
Oberlin ID Number ('T'-number):
OCMR:
Phone:
Job Title:
Pay Rate:
Department:
Account Number:
Processor (Employer) name:
Processor Mailing Address:
Processor Email:
