Federal Work-Study Employer Interest Form

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.

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Federal Work-Study Employer Interest Form

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 Address
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

For each type of student job expected to be available, provide the following information by copying/pasting the information below into a Word document. Once each section is complete and the document is saved, attach a separate file for each position by using the "Choose Files" button below.

Job Title:

Classification of Job Title:  (e.g. Office Assistant I, Office Assistant II, Lab Assistant I or 2, etc.)

Begin and End Dates:  From _____ to _____

Work Schedule:  Days and Hours
(students may not work more than 20 hours per week)

Description of Duties:

Qualifications and Experience:  (indicate preferred or required)

Does the job require special training or requirements  (e.g. additional background checks, drug test, first aid, CPR training, etc.)?

Note: Student evaluations will be sent near the end of the semester and must be completed and returned by the designated date.

Maximum 10 files.
8 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.