STUDENT ASSISTANT REQUEST FORM

RADFORD UNIVERSITY OFFICE OF FINANCIAL AID

STUDENT NAME _______________________________________________________

SOCIAL SECURITY NUMBER ___ ___ ___ - ___ ___ - ____ ____ ____ ____

RU ID# ___ ___ ___ ___ ___ ___

STUDENT IS: (circle one)         UNDERGRADUATE                   GRADUATE

REQUESTED FOR ___________________________________DEPARTMENT/AREA

FOR THE FOLLOWING TERMS: (circle)

FALL

SPRING

MM

SUMI

SUMII

SUMIII

______________________________________________ ____________________________ ____________

Supervisor Signature

Department

Date/Year

PLEASE ADVISE STUDENT TO COMPLETE NECESSARY APPLICATIONS.


FOR OFFICE USE

HIRED __________ NOT HIRED __________

REASON FOR NON-HIRE: ________________________________________________________________

_______________________________________________________________________________________

This form will be returned to you for non-hires.

SIGNED: _______________________________________DATE: ________________________

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