Step 1: Check all that apply. Please ask the employee to ensure your response below is correct.

Not enrolled as a current Missouri S&T student.

A high school student who has NOT graduated.

Step 2. Provide information about the employee if you know who it is you want to hire.

Name (if unknown type UNKNOWN)

EmplID Number

Home Phone Number

Check One:

Under 18 Over 18

Step 3. Provide information about the temporary position.

Requestor's Name

Employment Begin Date

Employment End Date

Department (ex RDEANMIN)

FTE

Recommended Job Code or Job Title

Recommended Hourly Wage

MO Code

MO Code is activated for payroll?

Yes No

Check Stub Address

Supervisor Name

Supervisor Phone

List the job duties and responsibilities. If applicable list the tools, chemicals, etc. the temporary may use to accomplish the job tasks.