OFFICE OF GLOBAL ENGAGEMENT

OFFICE OF GLOBAL ENGAGEMENT
International Student on Campus Employment Authorization Form – Instructions
Contents: Page 1 – Instructions
Page 2 – International Student on Campus Employment Authorization Form
Section to be completed by the Hiring Department
The hiring department must complete Number 1 - 15 before routing the form to the Office of Global Engagement along with
the student’s Recomendation for Hiring Form (RHF) at https://ba.utb.edu/portal/
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
UTB ID Number: 7-digit number assigned to the student by UTB.
Student Name: Name, Middle Initial and Last Name of the student.
Student Phone Number: Student contact phone number.
Department: Name of employing department.
Division: ACAD (Academic Affairs), BAD (Business Affairs), CE (Continuing Education), EDCS (Economic Development & Community
Services), IAD (Institutional Advancement), ITS (Information Technology Services), PAD (Partnership Affairs), PRES (President’s Office),
PROV (Provost’s Office), RD (Research), SAD (Student Affairs).
Supervisor: Name of the student employee’s immediate supervisor.
Phone Number or Extension: Campus phone number of the immediate supervisor.
Email: Campus email address of the immediate supervisor.
Hiring Semester: Choose the semester you want the student to work from the drop down menu. (MAY, SS1, SS2, FALL, SPRING)
Proposed Start Date: Enter the date you want the student to begin working for your department once your request is approved by the Office
of Global Engagement and the Office of Human Resources. The start date must be on or after the first day of classes for the semester
indicated on the request form.
Proposed End Date: The end date must be on or before the last day of classes for the semester indicated on the request form.
Job Title: Must use a job title from the UTB Pay Plan at http://www.utb.edu/ba/hr/payplan/.
Number of Hours; The number of hours the student is expected to work per week. Students can work only in Spring & Fall semesters
20 hours per week. 40 hours are permited during official school breaks ( winter, summer) or for students that are on Optional Practical Training.
Supervisor Signature: Signature of the immediate supervisor of the student employee.
Date: Date the immediate supervisor signed the request form.
Please route this request to the Office of Global Engagement (EDBC 1308), attention: Aragelia Salazar at least two weeks before you want the
student to start working for your department. Once this form has been received at OGE with all the required documentation, we will process it
within three (3) business days. Along witht this form, the hiring department must prepare the online Recomendation for Hiring Form
(RHF) at https://ba.utb.edu/portal/
Section to be completed by the Student Employee
Student must read and sign the disclaimer and also provide copies of the following documents to the Office of Global Engagement:
I-94 arrival departure record (both sides). If student no longer has the old white card (I-94), they must attached their electronic I-94 number page.
Copy of I-20 (F-1) or DS-2019 (J-1)
Copy of valid passport identity page
Copy of student visa, students on Optional Practical Training must provide their Employment Authorization Document (EAD)
Provide receipt of Social Security Administration
***Students with OPT authorized may work on campus full time. EAD will determine the employment eligibility dates.
Section to be completed by the Office of Global Engagement
The Office of Global Engagement will complete this section of the form. A student advisor from the Office of Global Engagement will verify that
the student is in good academic standing and is authorized to work in the United States before routing the form to the Office of Human Resources
for final approval.
The Office of Global Engagement and Office of Human Resources must approve (a signature is required) this request before the student can begin
working for UTB. Once student has been authorized by OGE and HR, he/she must complete the new hire packet at Human Resources at
http://www.utb.edu/ba/hr/employment/Pages/newemployees.aspx.When student receives original social security card, he/she must provide this
document to the Office Human Resources for clearance on E-verify.
Office of Global Engagement Information:
Aragelia Salazar, International Student Advisor II
[email protected] Ph: 956-882-7983 Fax: 956-882-6817
Human Resources Information:
Ph: 956-882-8205; Fax: 956-882-7476
80 Fort Brown • Education and Business Complex (EDBC ) 1308 • Brownsville, Texas 78520 • Phone (956) 882-7983 • Fax (956)
882-6817 Revised: 09/17/13
OFFICE OF GLOBAL ENGAGEMENT
THE UNIVERSITY OF TEXAS AT BROWNSVILLE
International Student on Campus Employment Authorization Form
EMPLOYER REQUEST
This section must be completed by the hiring department. Please forward this request to the Office of Global Engagement
Education and Business Complex (EDBC) 1308 Attention: M. Aragelia Salazar, upon completion of this section of the form.
UTB ID Number:
Student Name:
Student’s Ph: #:
First/Middle Initial/Last Name
Department Name:
Division: Select a Division
Supervisor Name:
Phone Number / Ext.:
E-mail:
Hiring Semester:
Proposed Start Date:
Proposed End Date:
MM/DD/YYYY
Job Title:
Year
Semester
MM/DD/YYYY
Number of hours per week:
I understand that this request must be approved (a signature is required) by the Office of Global Engagement and the Office of Human Resources before
the student can begin working for UTB. As per federal immigration regulations, I also understand that the student can not work more than *20 hours
per week while school is in session and as such any additional assignments must be approved by the Office of Global Engagement beforehand. I am also
aware that this authorization to work is valid for one semester only, unless student is on OPT. Thus, if I wish to rehire this student employee next semester,
a new request must be completed by the hiring department and submitted to the Office of Global Engagement for approval before the employee can
continue to work for UTB. I am also required to check the Payroll Paperwork Deadlines at:http://www.utb.edu/ba/budget/Documents/payroll-deadlines.pdf to
make sure the student employee receives compensation in a timely matter.*Students on Optional Practical Training can work from 20-40 hrs. per week.
Supervisor Signature:
Date:
I understand that my employment with UTB may be terminated if I violate any of the terms of employment listed above or if I do not maintain the
G.P.A. required by my employment visa or if I fail to report any changes of employment to the Office of Global Engagement. I am also responsible to
provide the original social security card to the Human Resources department when received by mail.
Please note: All international student employees must complete an income tax report before April 15 of the following calendar year. The 1040NR form
can be found at http://www.irs.gov/pub/irs-pdf/f1040nr.pdf for more information, contact Nelly Gomez from the Payroll Office at 882-3820
Student’s Signature:
Date:
MM/DD/YYYY
INTERNATIONAL STUDENT & SCHOLAR SERVICES APPROVAL - OGE
This section must be completed by the Office of Global Engagement to certify that the student is in good academic standing
and is authorized to work at UTB before this request can be routed to the Office of Human Resources for final approval.
Visa Type:
F1
J1
Visa or EAD Exp Date :___________________
Other – Please Specify:
MM/DD/YYYY
I-94 Number:
Passport Expiration Date:_______________
Country of Birth:
UTB Date of Arrival:___________________
Expected Date of Degree Completion:
Student’s GPA:
MM/DD/YYYY
MM/DD/YYYY
International Advisor’s Signature:
MM/DD/YYYY
Designated School Official, Responsible Officer, Alternate Responsible Officer
Date:
Manager, International Student & Scholar Services Approval:
SS# Letter Received
SS# Card Received
Copies of Visa
MM/DD/YYYY
Date:
Copy of I-94
Copy of I-20 or DS-2019
MM/DD/YYYY
Copy of Passport
Revised: Sept. 17, 2013