[University of Maryland Logo] University Human Resources Wage Exception (Student) Department: Student's Name: UID: Hourly Rate Requested: Job Duties & Responsibilities of Position for Which Exception is Requested: Qualifications of Student (include education, work experiences, etc.): Approval: Employee: Signature: Date: Supervisor: Signature: Date: Assistant Vice President University Human Resources: Signature: Date: Instructions: Send one copy of the approved form to the University Human Resources Department and retain one copy at department level. 1100 Chesapeake Bldg College Park, MD 20742 UHR.UMD.EDU UHRConnect@umd.edu Revised 5/12/2015 Student Wage Exception