HTML Preview Temporary Appointment Form page number 1.
SEAS Temporary Payroll Appointment Form (FY 17)
Please return completed form to: SEAS Human Resources Office
20 University Rd, 6
th
floor
(617) 384-7828
EMPLOYEE
First Name:
Last Name:
Harvard ID#:
__ __ __ __ __ __ __ __
Birth Date:
__ __ / __ __ / __ __
Email Address:
Local Address:
Have you worked at Harvard University in the last year?
Yes
No
Do you currently work for another Harvard University department?
Yes
No
Hours/week:
Are you receiving federal work study (FWS)?
Yes
No
Are you receiving faculty aide support?
Yes
No
Will you be working in a lab? (If yes, Safety Training is required) Yes
No
SUPERVISOR
Employee Role: Professor/Staff Supervisor:
Start Date:
__ __ / __ __ / __ __
Hourly Rate:
Please note pay ranges for &ĞĚĞƌĂůtŽƌŬ^ƚƵĚLJstudents*:
Undergraduate: $11 - $16 / Graduate: $13.50 - $20
Hours/Week**:
Costing:
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Name (print) Signature Date
SIGNATURES
1 Employee:
2 Faculty/Staff Supervisor:
3 Budget/Research Admin:
Documentation
The following documents must be on file for each employee:
• I-9 Employment Verification Form
• Federal W-4 Tax Form
• MA State M-4 Tax Form
• Foreign National Information Form (International students only)
• Work Permit (under age 18 only)
All forms are available in the SEAS HR office and must be submitted to the HR office prior to the employee’s start date.
Additional documentation is necessary for students on the Federal Work Study program and Faculty Aid funds.
* For more information on Federal Work Study rates, see http://seo.harvard.edu/wage-ranges
** Please note that only Harvard students and LHTs can work for longer than 90 days.
Time Sheets and Payment
Signed time sheets are due each Friday by 12:00 pm at the Pierce 226 drop box. Blank time sheets are available to the right of
the drop box. Checks are available on Fridays after 3:00 pm.
Direct deposit is strongly encouraged. Employees can register via PeopleSoft Self-Service after employment paperwork is processed.
Students may work up to 40 total hours/week during the summer and 20 total hours/week during the semester.
__ __ / __ __ / __ __
End Date:
$
Office location:
_ _ _ - _ _ _ _ _ - XXXX - _ _ _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ - _ _ _ _ _
LHT
Temp
Harvard Student
Cell #: