Contingent Worker Position Request Form

This form should not be submitted until all necessary approvals have been completed. These include:

HR/Compensation must review and confirm that the purpose of this role does not require employment.
If the purpose involves any sponsored research, OVCR/SPA must confirm that this role is appropriate.

Please work with your unit's HR Business Partner to obtain these approvals.

Name of authorized requester

Name of sponsoring academic/business unit

Date of request

What is the proposed contingent worker role?

Name of person being proposed for contingent worker position

What is this person's regular role or employment outside of WashU?

Business purpose for contingent worker role (include any activities, functions, and affiliations)

What systems or services will the person need access to?

Why is a contingent worker role required for this?

Specific start date of CW role

Specific end date of CW role

Which SUP ORG will this position go into? (i.e., who will be the Supervisor responsible for this contingent worker's access?)

Does the purpose of this role involve any sponsored research? If yes, OVCR/SPA must provide confirmation that this role is appropriate.

Yes

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