Fillable Federal Work-Study Program Agreement Request Form University of (University of the Incarnate Word)

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Federal Work-Study Program Agreement Request Form University of (University of the Incarnate Word)

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Federal Work-Study Program Agreement Request Form
University of the Incarnate Word
Instructions for completing this form: C
omplete all sections in the space provided
, save document to
your files and submit as an attachment by e-mail to mtnguye4@uiwtx.edu.
Employer Information:
Department Name:
Supervisor Name:
Supervisor Phone:
Supervisor E-mail:
Hourly P
ay Rates: Changes to pay rates cannot be made once a student begins working.
Federal Minimum Wage
$7.25/hour
Maximum Wage – Undergraduates
$10.00/hour
Maximum Wage – Graduates
$12.00/hour
Student Name
UIW ID
New or Returning
Employee
Job Posting #
(New Hires Only)
Hourly
Pay Rate
Total
Requested
Start Date
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
New
Returning
Total allocation: Funds requested cannot exceed student’s award as listed on award letter. You may wish to keep
a reserve in your allocation to cover increases throughout the year or for summer agreements.
Student Agreement Request Information:
A copy of the job posting from Cardinal Talent is required for new work study employees
Job
Posting # (New Hires Only): Include job posting number from Cardinal Talent posting beginning with "STU"
Hourly Pay Rate: Indicate student's hourly wage
Total Allocation: Indicate student's allocation from department's overall work study budget
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Federal Work-Study Program Agreement Request Form University of (University of the Incarnate Word)

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Completed 24 July 2020

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