XAVIER UNIVERISTY OF LOUISIANA
OFFICE OF FINANCIAL AID
1 DREXEL DRIVE P.O. BOX 40A
NEW ORLEANS, LA 70125-1098
PH: 504-520-7835 FAX: 504-520-7906
OFFI
FEDERAL WORK-STUDY REQUEST FORM
Qualifications:
*
*
*
*
*
Must have unmet need.
Must be enrolled at least ½ time.
Must be meeting Satisfactory Academic Progress (SAP).
Must be enrolled in on-campus classes.
Cannot be employed in a Departmental Hire Position (DHP).
Instructions:
1. Use blue or black ink to complete this form.
2. Submit this completed form to the Financial Aid Office.
* You will be contacted through your XULA email once funds are available and eligibility has been determined.
Completing this form does not guarantee Work-Study employment.
STUDENT ID# ___________________________________
____________________________________________________________________________________________________________
LAST NAME
FIRST NAME
M.I.
____________________________________________________________________________________________________________
ADDRESS
APT. #
CITY
STATE
ZIP CODE
Phone # (
) ___________________________
ACADEMIC MAJOR: ________________________
CLASSIFICATION: ____________________________
XULA E-MAIL: _________________________________
*** Indicate Effective Semester: ***
Fall/Spring 20____ - 20_____ Fall Only 20_____
Spring Only 20_____
Summer Only 20_____
I am requesting Work-Study award: Eligibility: _____ Increase: _____ Cancellation: _____
FOR CONTINUING WORK-STUDY STUDENTS ONLY (PREVIOUSLY EMPLOYED WORK-STUDY STUDENTS):
PREVIOUSLY EMPLOYED AT: _______________________________________________
(INDICATE DEPARTMENT ON ABOVE LINE)
COMPLETE SECTION BELOW FOR INTEREST IN COMMUNITY SERVICE WORK-STUDY:
(Community Service Work-Study positions are primarily student tutors/mentors located within the community schools.)
** Are you interested in Community Service Work-Study? Yes____ No _____
** Do you have at least a 2.0 GPA or higher?
Yes____ No _____
** Do you have reliable transportation?
Yes____ No _____
** Do you have tutoring experience?
Yes _____ No _____
**Available working hours:
Mornings _____ Afternoons_____ After-Care Hours: _____
(approx. 4p.m. – 6p.m.)