SOUTH TEXAS COLLEGE OF LAW
OFFICE OF THE REGISTRAR
NOTIFICATION OF CHANGE IN EMPLOYMENT STATUS
NAME: (LAST) (FIRST) (MI)
SSN:
DAYTIME PHONE:
My change in employment status became effective on _____________
Date
I (AM / AM NOT) ENGAGED IN OUTSIDE EMPLOYMENT.
If affirmative, please provide the following:
Employer: ___________________________________
Supervisor: ___________________________________
Address: ___________________________________ Number of Hours
___________________________________ working per week:
Phone: ___________________________________ ______________
I ( DO / DO NOT ) GIVE PERMISSION FOR STCL TO CONTACT MY
EMPLOYER FOR THE PURPOSE OF VERIFYING THE NUMBER OF
HOURS I WORK PER WEEK.
I HAVE READ ALL OF THE REGULATIONS AND COURSE DESCRIPTIONS
AS THEY APPEAR IN THE ACADEMIC REGULATIONS AND CURRICULUM
FOR THE CURRENT SEMESTER, UNDERSTAND THAT ALL RULES AND
PREREQUISITES WILL BE APPLIED STRICTLY, AND VERIFY THAT I AM
IN COMPLIANCE WITH THOSE APPLICABLE TO ME.
_________________ __________________________________________
Date Student Signature