Undergrad Hiring Form

Please fill in the form below for each student you are planning to hire, then send the student(s) to see Cheryl Wallace. Keep in mind that student workers may not perform work activities before they complete their hiring paperwork with Cheryl. Please let Cheryl know if you have questions.

* Denotes required field

Faculty first name
* Faculty last name
* Student worker first name
* Student worker last name
* Student worker email
* Duke student
IF Duke student, Duke unique ID
IF Duke student, anticipated graduation date
* Approximate begin date
* Approximate end date
* Hourly rate and/or total amount
* Estimated hours of work/week
CS program, if any (C-SURF, MacArthur Plowshares, etc)
* Funding Source
* Describe nature of learning experience
Preferred area for office and/or names of other students this student will work with
Special needs
	Input the characters in the image.