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Name Relationship<Have you ever been convicted of or pled guilty to a crime? `If yes, state conviction (e.g., felony, misdemeanor), date, city & state, court action/sentence. Explaination: Check One: ClericalServiceJob Description(# of Semesters) (# of Weeks) Supervisor Supervisor Email: Supervisor's ApprovalDepartment Head: Business Office:To Be Completed for HireTo Be Completed for SeparationDepartment Name:Source of Funds:PUID # (10 digits)Account Name(s):NEW HIRES and REHIRES must do the Electronic I-9 on or before start date. Required identification documentation is required within three days after start date. If requirements are not provided, student will not be allowed to work. Birthdate: If NSF is the funding source, RCR certification must be completed before student can begin work on NSF project. Student should create an account at www.citiprogram.org (or log into existing account) and complete the RCR course titled  Responsible Conduct of Research . There is no charge for the course and its certification. Print certification and bring to the Business Office with this Student Employment Form. YOU WILL NOT BE PAID UNTIL THIS TRAINING IS DONE.q  Purdue Undergraduate StudentPurdue Graduate Student Temporary - hourly non student4Biweekly Student & Hourly Temporary Employment Form ORDER/WBSEPercent Select Job Title:#Student Clerical - Office Assistant$Student Service - Research Assistant+Student Service - Student Flight Instructor#Student Service - Flight DispatcherStudent Service - SIM Assistant'Student Service  Maintenance Assistant+Student Service - Teaching Assistant/GraderTemporary PositionD.Business Office Use Only: Position #:User ID:Req #Concurrent / New / TransferDepartment #: CD Enter: Work Study: App Sent:Bucket:SF/SAP: (Please Print Legibly) MI (required))Student Service  Maintenance TechniciansuThis form is to be completed by Student, Supervisor, and Department Head. A fully signed form needs provided to 鶹ƷBusiness Office to provide any required documents to finish the employment process and obtain his/her timecard. NEW HIRES and REHIRES must do the Electronic I-9 on or before start date. Required identification documentation is required within three days after start date. NEW HIRES and REHIRES must do the Electronic I-9 on or before start date. Required identification documentation is required within three days after start date. NEW HIRES and REHIRES must do the Electronic I-9 on or before start date. Required identification documentation is required within three days after start date. NEW HIRES and REHIRES must do the Electronic I-9 on or before start date. Required identification documentation is required within three days after start date. 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