FEDERAL WORK-STUDY DEPARTMENTAL REQUEST FORM
SUMMER 2016
DEPARTMENT:
COST #:
LOCATION:
PH. EXT:
SUPERVISOR NAME (S):
Number of Work-Study students requesting for Summer Session 1:
(Please Note: Students enrolled in Summer session must be awarded Work-Study via Summer Request Form.)
RETURNING/REQUESTING STUDENT WORKERS:
STUDENT ID
NUMBER
STUDENT NAME
STUDENT JOB
TITLE
Enrolled
in
Summer
Classes
Not
Enrolled in
Summer
Requesting number of students for Summer Non-Enrollment Period:
(Please Note: Non-Enrollment students must have worked with the Dept. prior in Fall &Spring and have completed
the upcoming Fall FAFSA. Students are not eligible for Non-Enrollment if student is enrolled in a Summer session.)
RETURNING/REQUESTING STUDENT WORKERS:
STUDENT ID
NUMBER
STUDENT NAME
STUDENT JOB
TITLE
Enrolled
in
Summer
Classes
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
Not
Enrolled in
Summer
Classes
FEDERAL WORK-STUDY DEPARTMENTAL REQUEST FORM
Year: Fall 2016 – Spring 2017
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