Federal Work Study Student Employment Application

Instructions: Complete the form below and click the 'Submit Form' button. Required fields are marked with a  red asterisk. When submission is successful, the form will close. Call the Financial Aid Office if you have questions.

Applicant Information

Date: 
Full Legal Name: 
 *
 *
Last Name
First Name
M.I.
Address:
 *
Street Address
Apartment/Unit #
 *
 *
 *
City
State
Zip Code
Home Phone:
Email Address:
 *
Cell Phone:
Last four of Social Security Number:
 *
Date of Birth:
 *
Student ID:
Have you applied for or currently receive financial aid?
 Yes
 No
Are you currently enrolled in at least 6 credit hours?
 Yes
 No
Are you currently employed?
 Yes
 No
If employed, what is your current occupation:
When are you eligible to begin work?
Will you be employed off-campus during school?
 Yes
 No
If employed off-campus, number of hours per week
Availability/Preference of work hours:
 Morning
 Afternoon
 Evening
Campus preference:
Areas of Interest - Use the checkboxes below to indicate the departments to which you are interested in applying:
 Aviation
 Health
 Manufacturing
 Office/Administration
 Tutoring
 Culinary

Background Information

Have you ever been convicted of a crime other than a minor traffic violation?
 Yes
 No
If yes, provide date and disposition. A conviction will not automatically bar you from employment.
Explain here:
Your Program of Study:
Have you previously held or applied for a Work Study position at WSU Tech?
 Yes
 No

Previous Employment

Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
 Yes
 No
Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
 Yes
 No
Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
 Yes
 No

Certification and Authorization

  • I authorize the investigation of all statements I enter on my electronic application and certify that they are true and correct to the best of my knowledge. I understand that should investigation disclose material misrepresentation or falsification, my application may be disqualified, or if employed, my employment and all rights and privileges of my employment may be immdiately terminated.
  • I understand that in order to determine my qualifications for positions I apply for it may be necessary to investigate my employment history, educational accomplishments, and criminal history. I direct the custodian of these records to release this information to any authorized agent of the employing organization. I release any individual, institution, business or organization from any and all liability for damages which might arise from the release of pertinent information.
I have read, or have had read to me, the statements above and by my signature agree to these provisions.
Signature:
 *
Date: