PRIMARY DEPARTMENT NAME:__________________________________________
ORG#:___________________________________________________
I am aware that (Name & Banner ID of Student)________________________________________________________
is working at two departments. He/she will not exceed _______ hours per week at this department.
Students are limited to a total number of hours that they may work even though they may be
working at two departments. (See below)
Supervisor Signature_________________________________ Date_________________
SECONDARY DEPARTMENT NAME:_________________________________________
ORG#:____________________________________________________
I am aware that the student named above is working at another department. Since he/she is
already working _______ hours per week, the hours available for my department are _______, the
total not to exceed the limit allowed for students working at two departments. (See below)
Supervisor Signature_________________________________ Date_________________
PLEASE NOTE: If the student works more than the agreed number of hours listed above on a
workstudy assignment, the department will be charged 100% excess.
I agree to adhere to the number of hours per week that are listed above.
Student Signature______________________________ Date_______
The following are limitations on hours per week for students working at two departments:
1. Students working during the Fall & Spring semesters can work a combined total of 30 hours
per week for all job assignments.
2. Students enrolled during the Summer can work a combined total of 30 hours per week for all
job assignments.
3. Students may work a combined total of 40 hours per week for all job assignments if they are not
enrolled during the summer session and while classes are not in session between semesters.
Office Approval_________________________________ Date________________