Federal Work-Study Employer Interest Form

Current Start
Review & Submit
Complete

Thank you for your interest in the Federal Work-Study Program. Please complete all of the information below. Work-Study placement and availability are dependent upon funding.

Agency Name

Department Name

Position/Classification of Job Title

Position Location

Supervisor Name

Supervisor Phone

Supervisor Email

Secondary Supervisor Name

Secondary Supervisor Phone

Secondary Supervisor Email

Agency Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Non-profit or For-profit

Agency’s Mission Statement and Description of Clients Served

How many student jobs may be available at your agency during the next Academic Year? (August - May)

How many student jobs may be available at your agency next summer? (Late May-July)

Job Description

Department Description

Responsibilities

Qualifications

Physical Requirements (if applicable)

Special training or additional requirements (if any)

Pay Rate

Length of Employment: Academic Year

Work Schedule (Days/Hours)

Student evaluations must be completed and returned to the Work Study coordinator by the end of each semester.

Check Out Training Options During Virtual Open House

Admissions

Financial Aid

Federal Work-Study Employer Interest Form