2019-2020
Federal Work Study Application
This application must be typed
________________________ ______________________ ____________ __________________
Last Name First Name Middle Initial Student ID
Current Program of Study:
______________________________________________________________________________
Position Number: _______________ Position Name: _____________________________
Work/Volunteer Experience
Employer/Business Name and Address:
______________________________________________________________________________
______________________________________________________________________________
Employer/Business Name and Address: ______________________________________________
______________________________________________________________________________
List Job Skills/Volunteer Responsibilities (i.e. computer, typing, filing): _______________________________
______________________________________________________________________________
______________________________________________________________________________
What are your long-term work/career goals (i.e. nurse, welder, physical therapist assistant, accountant, entrepreneur)?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
You will be notified of your eligibility to participate in the Federal Work Study Program via
official student email. Selected candidates will be contacted by a supervisor for an interview.
I hereby verify that the information on this application is true and complete to the best of my
knowledge.
___________________________________ ______________________ ___________________
Signature Phone Number Best Time to Reach You
Return this application to:
The Office of Financial Aid
2855 Hickory Blvd
Hudson, NC 28638
finaid@cccti.edu
For Office Use Only:
FAFSA completed and student awarded EFC: ____________
Eligible Notified of status on: _______________________
Ineligible Reason: _________________________________
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