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STUDENT INTERN EMPLOYMENT REQUISITION FORM Requesting Department Date of Request Supervisor EXHIBIT A Students Requested Start Date Est. Total Cost Hiring method End Date Budgeted Yes No Hours Per Week If more than 10 000 Board approval obtained on District payroll account no. Personal service contract Describe work to be performed attach additional pages if necessary. Describe how this work assignment differs from tasks responsibilities projects routinely performed by regular District employees List training/experience opportunities which this assignment provides to the student/intern List academic major s most closely related to acceptable performance of the task or project List any other requirements Approved Department Head Date Assistant General Manager - Administration Human Resources and Risk Manager Refer to current Salary Schedule for dollar amounts Step 1 Student has completed 60 or less semester units equivalent of two years of college Step 2 Step 3 Student has earned bachelor s degree Step 4 Student has bachelor s degree plus six months or more experience full time equivalent as a District intern Step 5 REQUEST TO EXTEND ENDING DATE OF AN INTERN ASSIGNMENT Name of Intern Name of Supervisor Original Assignment Began Original Ending Date Was Request End Date Extended To Reason for Extension NOTE Board approval must be obtained for any extensions where the total assignment cost exceeds 10 000. Total Cost Hiring method End Date Budgeted Yes No Hours Per Week If more than 10 000 Board approval obtained on District payroll account no. Personal service contract Describe work to be performed attach additional pages if necessary. Personal service contract Describe work to be performed attach additional pages if necessary. Describe how this work assignment differs from tasks responsibilities projects routinely performed by regular District employees List training/experience opportunities which this assignment provides to the student/intern List academic major s most closely related to acceptable performance of the task or project List any other requirements Approved Department Head Date Assistant General Manager - Administration Human Resources and Risk Manager Refer to current Salary Schedule for dollar amounts Step 1 Student has completed 60 or less semester units equivalent of two years of college Step 2 Step 3 Student has earned bachelor s degree Step 4 Student has bachelor s degree plus six months or more experience full time equivalent as a District intern Step 5 REQUEST TO EXTEND ENDING DATE OF AN INTERN ASSIGNMENT Name of Intern Name of Supervisor Original Assignment Began Original Ending Date Was Request End Date Extended To Reason for Extension NOTE Board approval must be obtained for any extensions where the total assignment cost exceeds 10 000. Total Cost Hiring method End Date Budgeted Yes No Hours Per Week If more than 10 000 Board approval obtained on District payroll account no. Personal service contract Describe work to be performed attach additional pages if necessary. Describe how this work assignment differs from tasks responsibilities projects routinely performed by regular District employees List training/experience opportunities which this assignment provides to the student/intern List academic major s most closely related to acceptable performance of the task or project List any other requirements Approved Department Head Date Assistant General Manager - Administration Human Resources and Risk Manager Refer to current Salary Schedule for dollar amounts Step 1 Student has completed 60 or less semester units equivalent of two years of college Step 2 Step 3 Student has earned bachelor s degree Step 4 Student has bachelor s degree plus six months or more experience full time equivalent as a District intern Step 5 REQUEST TO EXTEND ENDING DATE OF AN INTERN ASSIGNMENT Name of Intern Name of Supervisor Original Assignment Began Original Ending Date Was Request End Date Extended To Reason for Extension NOTE Board approval must be obtained for any extensions where the total assignment cost exceeds 10 000.