Off Campus Federal Work Study Wage Increase Complete when requesting a wage increase for your student employee. Please note wage increases cannot be back dated. PhoneThis field is for validation purposes and should be left unchanged.Student InformationStudent Name(Required) First Last Student Wisc.edu Email(Required) Student's Position Title(Required)Supervisor InformationOff Campus Work Study Employer Name(Required)Supervisor Name(Required) First Last Supervisor Email(Required) Wage Increase InformationCurrent Hourly Pay Rate(Required)New Hourly Pay Rate(Required)Effective Date(Required) MM slash DD slash YYYY Note: Must be a future date, wage increases cannot be back dated.Breifly Describe Reason for Pay Increase(Required)