Fillable Federal Work-Study Application Request Office of Financial Aid (Altamaha Technical College)

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Federal Work-Study Application Request Office of Financial Aid (Altamaha Technical College)

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The Federal Work-Study Application Request Office of Financial Aid (Altamaha Technical College) form is 1 page long and contains:

  • 2 signatures
  • 12 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

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Office of Financial Aid
Waycross Campus (912) 287-6584
Jesup (912) 427-5800
Alma (912) 632-0951
Camden (912) 510-3327
Hazlehurst (912) 379-0041
Baxley (912) 367-1700
Golden Isles (912) 262-4999
Website: www.coastalpines.edu
Federal Work-Study
Application Request
Form: FWSR2021
Aid Year: 2020-2021
This form must be completed each semester to evaluate remaining eligibility!
I am applyin
g for the Federal Work-Study program at Coastal Pines Technical College. If eligible and offered a
position, I understand that I may work only the number of hours authorized to work each semester, without special
permission. I also understand that I may not work more than a maximum of 20 hours per week, if authorized, and
maintain Satisfactory Academic Progress in order to be eligible to continue in this program and must be
continuously enrolled/attending in at least 6 semester credit hours each semester. I also certify that I am a recipient
of the Federal PELL Grant program, do not have ANY criminal history and am not prevented from lawfully
becoming employed in this country because of visa or immigration status. Note: a criminal background check and
proof of citizenship/immigration status will be required prior to offer of Federal Work-Study Employment at CPTC.
900 _ _ _ _ _ _
Enter full name
Full Name (last, first, and middle initial)
Student ID Number
Enter address
Enter email
Street Address (include apt. no.)
CPTC Email Address
Enter city, state, zip
Enter phone #
City State Zip Code
Phone Number
Please note times available to work for the current
Circle the semester for evaluation: Fall 2020
Spring 2021 Summer 2021
Enter Times of Day Below:
Monday
Tuesday
Wednesday
Thursday
Skills and abilities: (Check all that apply)
☐ Typing (Speed/WPM) ______ ☐ Filing/Imaging
☐ Office Machines ☐ Telephone
☐ Tutor (Math/Reading) ☐ Adult Literacy
Student's Signature:
☐ Computer
☐ Switchboard
☐ Office Work
Date:
☐ Communication
☐ Microsoft Office
☐ Library
TO BE COMPLETED BY OFFICE OF FINANCIAL AID
Student has Financial Need: ☐ Yes ☐ No If No, Reason for Ineligibility: ___________________
Maximum Hours Eligible to Work: _________________ Semester: ___________________
BANNER Program of Study: ____________________________________________________________
Financial Aid Officer Signature: _______________________________ Date: ___________________
“Coastal Pines Technical College does not discriminate on the basis of race, color, national origin, gender, age or disability. Any violation of or questions related to Title IX should be directed to Karla
Eubanks, Vice President for Student Affairs, at (912) 427-5899 or keubanks@coastalpines.edu . Any violation of or questions related to Section 504 should be directed to Cathy Montgomery at (912) 262-9995
or cmontgomery@coastalpines.edu.
Rev. 03/04/2020 2021 Federal Workstudy Application Request
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Federal Work-Study Application Request Office of Financial Aid (Altamaha Technical College)

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Completed 25 July 2020

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