1. Check One - Enter the type of processing required for the GAEAF. If marking change, please indicate whether it is an account number change or add the specific change on the line marked "other".

2. Name - Enter the student's full name.

3. SSN - International students must have a number from the Social Security Administration. 902-**-**** numbers will not be accepted.

4. Permanent Address - This is where the student will receive their W-2 Form.

5. Local Address - School address

6. US Citizen - Check the proper blank

7. Visa Type - For international students only. Enter the visa type here. F1 and J1 status visas are the only types valid for employment.

8. Expiration Date - Date the visa expires.

9. Employing Department Name - Enter the name where the student will be employed.

10. Department Contact - Enter the name of the person who may be called if there are any questions about this student.

11. Phone # - Enter the phone number where the Department Contact may be reached.

12. Type of Employment - Mark the appropriate line for all students whether they are being hired, having their status changed or are being terminated.

13. Effective Date - Enter the actual date on which the student is hired, terminated, or their status is being changed.*

14. Begin Date - Enter the date in which the student begins work.*

15. End Date - Enter the date in which the student's employment will be terminated.*

*Please remember that if the inclusive dates of the contract cross fiscal year boundaries (July 1-June 30 = Fiscal Year), you will have to divide the assistantship into two contracts.

16. Student's Academic Program - Mark the appropriate line of the program the student is enrolled in.

17. 6 Digit Account # - Enter the appropriate account number from which the funds are to be distributed.

18. 4 Digit Object Code - Enter the appropriate code to be charged. 1303 is to be used for all assistantships.

19. Amount - Enter the total assistantship award here.

20. Percent - Enter the percentage in which the 6-digit account number is to be charged. Most are 100% unless several accounts are paying the student's salary in which varied percentage rates would need to be entered.

21. Department Contact Signature - Employer signs and dates.

22. Department Chair Signature - Only needed if the internal procedures within the department require it.

23. Program Director Signature - Signature of the Director of the graduate program in which the student is enrolled. All GAEAFs are required to have this signature.

24. Graduate Dean Signature - All GAEAFs are required to have this signature.