Federal Work-Study Application

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Student Section

Students should complete the section below.

Name*

First Name

Last Name

Number*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Phone*

Applying for the following semesters:*

Fall Spring Summer

Which campus(es) do you attend?*

Enterprise Ozark

What is your major?*

Please check all types of financial aid you are currently receiving or will be receiving:*

Pell Grant Scholarship Alabama Opportunity Program VA Educational Benefits SEOG WIOA Alabama Student Assistance Program (ASAP) Other

What positions are you interested in?*

Clerical Maintenance

When will you be able to work? If is understood that your work schedule will be when you are not in class.*

Mornings only Afternoons only Anytime Fridays

Check any previous work experience or skills.*

Customer service skills Answering phones Filing Typing Technology skills Tutoring Cleaning/sanitizing Setting up for events Outdoor grounds maintenance

The following conditions for Federal-Work Study Program apply:

Eligible students will be assigned a work-study job on a first-come, first-serve basis, by the date of work-study application was received and by qualifications.
A work-study job is not guaranteed to any student.
Students must be enrolled at least half-time.
Once all work-study jobs are filled, a waiting list will be maintained for replacements throughout the year, so long as funds are available.
Students may be assigned up to nineteen (19) hours per week at $10.00 per hour. Hours may be reduced depending on availability of funds or eligibility.
Students will be notified of employment by the Office of Financial Aid.
Students must complete a Work-Study New Hire packet and complete a background check before beginning to work.
Work-Study wages will be paid to the name on the student's Social Security Card and Driver's licence. If a student changes his or her name, a new Social Security Card and Driver's Licence must be submitted to the Business Office before a payroll check will be issued.
Enterprise State Community College is committed to providing both employment and educational environments free of harassment or discrimination related to an individual's race, color, gender, religion, national origin, age, or disability. No such harassment or discrimination shall be tolerated on any campus or site, or in any division, or department by any employee, student, agent, or nonemployee on any institution's property and while engaged in any institutionally sponsored activities. The Harassment Policy 601.04 can be obtained by accessing it through ESCC Academic Catalog or through the Human Resources Office.

I certify that all the information on this application is accurate to the best of my knowledge. Any false or misleading information on any Work-Study documents may result in a loss of financial aid.

I understand that I must maintain academic standards of progress (see College Catalog) to participate in the Work-Study program.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date/Time*

Eligibility

Is the student eligible for Work-Study?*

yes no

Processing

Procedures*

Emailed Approval Emailed Denial Emailed HR Paperwork Submitted HR Paperwork Placed Student

Supervisor*

Department*