2016-2017
Federal Work-Study Application
Page 1 of 2
Financial Aid Office
185 Freedlander Dr.
Clyde, NC 28721
Phone: 828-627-4756
Fax: 828-627-4513
____________________________________________________ ____________________________
Last Name First Name M.I. Student ID Number
____________________________________________________ ____________________________
Street Address (include apt. no.) Date of Birth
____________________________________________________ ____________________________
City State Zip Code Email Address
____________________________________________________ ____________________________
Home Phone Number (include area code) Alternate or Cell Phone Number
1. What is your program of study? ___________________________________________________
2. Have you completed your 2016-2017 FAFSA? YES NO (If NO, please apply at https://fafsa.ed.gov)
3. Are you currently a Work-Study student? YES NO
a. If YES, would you like to continue working in the same position? YES NO
(Does not guarantee placement in the same position.)
4. Do you have a department preference? YES NO
a. If YES, please list: _______________________________________________________________
b. If NO, please indicate preferred area(s):
_____ Natural Resources
_____ RCAC
_____ General office work
_____ Grounds*
_____ IT
_____ Library
_____ Maintenance*
_____ Print Shop*
_____ Learning Support Services
_____ Student Services
*Must be able to lift 50 lbs.
5. Please list special job skills (typing, filing, etc.):____________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
6. Other relevant work experience: ______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2016-2017
Federal Work-Study Application
Page 2 of 2
Financial Aid Office
185 Freedlander Dr.
Clyde, NC 28721
Phone: 828-627-4756
Fax: 828-627-4513
Work-Study is a FEDERAL NEED-BASED program.
Information regarding the Federal Work-Study (FWS) program and your responsibilities as an employee of
Haywood Community College (HCC) are listed below. Please read the following information before signing the
application. The FWS program is a need based program which allows students to work part-time to help pay for
education related expenses. Students may work up to 15 hours per week at an hourly rate of $8.00. Timesheets
are due in the Financial Aid Office (FAO) by 4:00 pm on the last day of the month. If timesheets are late, the
student will not be paid until the next pay period. Once all funds for the FWS program for each academic year
have been awarded, the program will be discontinued until further funds are available.
I understand the following regarding FWS:
Students may work up to 15 hours per week.
Students must maintain Satisfactory Academic Progress (SAP) as defined in the HCC Catalog.
Students must prepare a work schedule for each supervisor every semester.
Students may not work when class is scheduled. OR WHEN THE CAMPUS IS CLOSED???
Students must notify supervisors regarding changes to class schedules.
Students must notify supervisors and the FWS Coordinator if they are unable to continue working.
Students are responsible for accurately reporting time worked.
o Timesheets must be signed by the student and supervisor.
o The student is responsible for submitting the timesheet to the FAO by 4:00 pm on the last business day
of each month.
Student must keep all institutional information regarding students, faculty, and staff confidential and
must not disclose such information or use it for personal gain or the gain of others.
All applications should be turned into the FAO.
An application does not guarantee a position.
Certification & Signature
By signing below, I certify that the information provided on this form
is complete and correct. By signing this form, I certify that I have read and
understand the information above regarding the Federal Work-Study Program.
_____________________________________________ ________________________
Student’s Signature Date
For Office Use Only:
Need: ________________________ Supervisor Assigned to: __________________________________
SAP: ____________ GPA: ___________
Notes: _______________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome