FEDERAL WORK-STUDY DEPARTMENTAL REQUEST FORM
Year: Fall 2015 – Spring 2016
DEPARTMENT:
COST #:
LOCATION:
PH. EXT:
SUPERVISOR NAME (S):
Total Number of Student Worker Requesting for Department:
(Indicate the number of New Students + Returning Students)
Total Number of New Students for Department:
(Indicate the number of new students hires to be appointed to your Department)
All Departments requesting for Federal Work-Study students must have a Work-Study Job Description on file with the Financial Aid
Office for continual Work-Study student placement.
RETURNING/REQUESTING STUDENT WORKERS:
STUDENT ID NUMBER
STUDENT NAME
STUDENT JOB TITLE
Departmental Supervisor Printed Name:
Date:
Departmental Supervisor Signature:
_Date:
PLEASE BE REMINDED THIS REQUEST DOES NOT GUARANTEE A STUDENT WILL BE ASSIGNED.
UPON COMPLETING THIS FORM, PLEASE SUBMIT FORM TO: THE
OFFICE OF STUDENT FINANCIAL AID IN ROOM 360 XU SOUTH