Last updated: April, 2020

Form 7-2
Assistant
Director

Director

Person incharge

Section in charge

Confirmation of Part-time Jobs for Research Assistance(For Students, etc. of the University of Aizu)
Expended Budget

Job Title andName of ResearchRep.

seal (印)ResearchTheme

Research Number

Research Funds

Ext.

Competitive Research Funds□ Laboratory Management(L) □ Graduate School Research (G)□ (P)□ Cooperative Research (A)□ Grant Donation(C)・(E)

Subsidy from Prefectural□ Foundation (F)□ Commissioned Research (B)Grant-in-Aid for Scientific□ Research (H)□ Other ()Student ID
Phone
NumberKANA
Student Name
Address on yourresidence card

Recipient

Unit Price/Working Hours〒-900 yen／hour□ Undergraduate student
1,000 yen／hour□ Master's student
1,200 yen／hour□ Doctoral studentyen／hour）□ Other（hour(s) ＝hour(s) ＝hour(s) ＝hour(s) ＝0 yen
0 yen
0 yen
0 yen

In case you started part-time jobs at the university for the first time or changed your bank account fortransfer, fill in the following blanks and submit a copy of your passbook.
Bank AccountBank Name
for Transfer(studentAccountaccount)
Name

Branch Name
Account No.

Note１．At the time of requesting work to students, (Form 7-4) "Details regarding a Part-time Job paid with
Research Funds" must be filled and handed to the students.

２．Description of work and working period on the form must be filled in every time, and(1) Students put the "Worker seal",(2) Research representatives put the "Research rep. seal"
３．The form must be submitted by the students to the Planning and Collaboration Division no later than
the 5th of the following month. ( If the 5th day is Saturday, Sunday or a national holiday, the deadline
is by the earliest weekday before the 5th. )4．In the event it is discovered that the actual working hours and reported working hours do not match, itwill be regarded as misappropriation of public research funds. In regards to the confirmation of working
hours/conditions, please pay attention to assure that the reported working hours do not overlap withstudents' other duties (SA/TA, etc.) or their class hours.

Working Hours and Rest Periods※ All part-time jobs at the university (RA/TA/SA/Other) are included.
１．Working hours must be 8 hours or less in a day and 40 hours or less in a week.
Working hours for international students must be 28 hours or less in a week.

２．When working hours exceeds 6 hours in a day, workers should be provided with a rest period of at least 1 hour.
３．Workers should be provided with a day off in a week.
４．Late night shifts (22：00 - 5：00) are not allowed.

５．Working hours must be 120 hours or less in a month.
Working Days and Hours, and Work Descriptions (Working performance inWorking period
DateDescription of work

1Rest period（）※ Enter in half-hour units※ Enter using 24-hourtime～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～（2（3（4（5（6（7（8（9（10（11（12（13（14（15（16（17（18（19（20（21（22（23（24（25（26（27（28（29（30（31（Total number of working hours（）））））））））））））））））））））））））））））））） hours,MonthResearch rep.
sealRemarksYearWorkerseal）

The student in question must confirm the following and check the corresponding box before submission.
The working hours above are based on my actual working hours and do not overlap with my other□ duties (SA/TA, etc.) or class hours.