Summer Employment Request Form

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Job Title *
Number Requested *
Project:
Task *
Student's Department*
Student's Mail Stop*
Needed From * (format mm/dd/yyyy)
Needed To * (format mm/dd/yyyy)
Primary Supervisor Fermi ID: * Employee   Visitor   Contractor   Other -- Fermilab Phone Book
Nature of the Position*
Will the student be working in a radiation area or radioactive materials area? * Yes No (Note: Personnel under 18 years of age may not work in radiation areas or use radioactive materials).
Job Description *
Qualifications Necessary *
Comments
Specify Candidate If Known
Will the summer student be 18 years of age or older on his/her start date? * Yes No (Note: Certain areas of work require the individual to be at least 18 years of age).
Does this position require a valid driver's license? * Yes No
* Indicates Required Fields