CWR 1415 COLLEGE WORK-STUDY REQUEST
Last NameMIFirst Name
ID # (MUST start with A)
Street
ZipStateCity
Major Total Number of Credits Completed
Fall 2014 Semester Spring 2015 Semester
Checking the boxes below indicates that you have read and understand the following:
Summer 2014 Semester
I would like to be considered for college work-study during the (check all semesters for which you
would like to be considered for a Work-Study Job):
To electronically submit this form you MUST use the "SUBMIT" button located at the top of this form.
You MUST have Adobe Reader 9 or higher to submit this form electronically.
If you DO NOT see a submit button in the top right of this form you will need to
To verify your form was properly submitted, allow 48 hours then check your "Financial Aid Status" in your Banner Self Service account.
Enter Full NameID # (MUST start with A)
I Accept
CERTIFICATIONS AND SIGNATURES
Electronic Signature Agreement. By providing your full student ID # below and by selecting the "I Accept" button, you are signing this Agreement
electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Worksheet. By selecting "I Accept" you
consent that all of the information reported is complete and correct. You further agree that your use of a key pad, mouse or other device to select an
item, button, icon or similar act/action, constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed
by you in writing.
WARNING: If you purposely give false or misleading information on the worksheet, you
may be fined, be sentenced to jail, or both.
Completion of this form DOES NOT GUARANTEE a work-study job.
A processed Student Aid Report (SAR) MUST be on file for you to be considered for the Work-Study
Program. If you have not already done so, you MUST complete the Free Application for Federal Student Aid
(FAFSA), as soon as possible. Ineligibility for other types of aid programs (e.g. PELL, TAP) DOES NOT
necessarily mean you will be ineligible for Work-Study Funds.
Phone (
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Email
