Fillable FEDERAL WORK STUDY APPLICATION (Coastal Carolina Community College)

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FEDERAL WORK STUDY APPLICATION (Coastal Carolina Community College)

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The FEDERAL WORK STUDY APPLICATION (Coastal Carolina Community College) form is 2 pages long and contains:

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  • 27 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Coastal Carolina Community College

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Start Date_____________
FEDERAL WORK STUDY APPLICATION
All hired applicants WILL BE subject to a Background Check
Updated May 16, 2018
Name: _____________________________________________________________________________
Date of Birth: _________________________ Student ID Number: ___________________________
Street Address: _______________________________________________________________________
City___________________________________ State______________ Zip Code__________________
Home Phone: ________________________ Cell Phone: ___________________________________
E-mail address: _________________________________________________@my.coastalcarolina.edu
(Please provide ONLY your Coastal’s Office 365 e-mail)
Have you been convicted of a felony or misdemeanor? ______ YES ______NO
If yes, please explain. Attach additional sheets if necessary. ___________________________________________________
~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Do you expect to receive Veterans Educational Benefits? ________YES _______ NO
If yes, please speak with the Veteran’s Affairs Office to inquire about the VA Work-Study Program.
What is your current curriculum? _____________________________________________________
When do you expect to graduate or transfer? ____________________________________________
(ex. Spring, 2012)
~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
List up to three jobs that you have held either full-time or part-time.
____________________________________________________________________________________________
Employer Dates Supervisor’s Name Phone Number
____________________________________________________________________________________________
Employer Dates Supervisor’s Name Phone Number
____________________________________________________________________________________________
Employer Dates Supervisor’s Name Phone Number
List three references that have knowledge of your work performance and character.
____________________________________________________________________________________________
Name Address Telephone Number Relationship
____________________________________________________________________________________________
Name Address Telephone Number Relationship
____________________________________________________________________________________________
Name Address Telephone Number Relationship
Do you have a disability that would require an accommodation? ____YES ____NO
If yes, please explain: _________________________________________________________________
____________________________________________________________________________________
ADMISSIONS/RECORDS ____
COLLEGE SUCCESS _____
LIBRARY ____
AMERICA READS ____
COLLEGE STORE ____
MATHEMATICS ____
ART DEPARTMENT ____
CONTINUING ED ____
MCAS NEW RIVER ____
NATURAL SCIENCE ____
DRAMA DEPARTMENT ____
MUSIC DEPARTMENT ____
BUSINESS SERVICES ____
ENGLISH DEPARTMENT ___
PHYSICAL EDUCATION ____
CAMP LEJEUNE EXT ____
FINANCIAL AID ____
PUBLIC INFORMATION ____
CAREER CENTER ____
FLEET MAINTENANCE ____
STUDENT SERVICES ____
PLEASE READ BELOW AND MAKE SURE YOU UNDERSTAND IT:
Your application will be placed into a pool of Work Study applications. The application will remain in the
FWS Coordinator’s office until a department requests applications for a new or additional Work Study
position. Each time your application is sent out, it will be documented for CCCC records. You can
request at any time to see your application and the departments it has been sent out to. Please note that
many students wait months before getting a Work Study position (if one becomes available), and some
wait only a few days or weeks. The Work Study Coordinator does not hire students. Each
department contacts, interviews, and hires their choice to fill their Work Study positions.
It is your responsibility to make sure that your Work Study application is up to date with a correct mailing
address and telephone number; do not assume that just because you update your information with the
school that your application will automatically be updated. Each semester the Work-Study Coordinator
will send out a contact information form and availability form. If the form is not returned by the specified
date your application will be discarded and to be re-entered into the pool of applications, you will have to
fill out a new application. To qualify for Work-Study you must meet (SAP) Satisfactory Academic
Progress, GPA 2.0 higher, be enrolled in coursework, and have FAFSA on file with a qualifying
need.
Signature: _____________________________________ Date: __________
PLEASE CHECK THE DEPARTMENT(S), LISTED BELOW, THAT YOU ARE INTERESTED IN WORKING FOR. YOU
WILL BE LIMITED TO THE DEPARTMENTS YOU CHECK BELOW AS YOUR PREFERENCE. WORK-STUDY
ASSIGNMENTS ARE USUALLY 15-20 HOURS WEEKLY.
I have read the above information and certify that the information I have provided is correct
and accurate to the best of my knowledge. I understand the application and hiring process
for the FWS program at Coastal Carolina Community College. I understand that I will be
subject to a background check prior to employment as a Federal Work Study at Coastal
Carolina Community College. I also understand it is my responsibility to ensure that my
contact information is kept up-to-date with the FWS Coordinator and that failure to do so
may result with the discarding of my application.
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FEDERAL WORK STUDY APPLICATION (Coastal Carolina Community College)

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Completed 3 February 2021

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