Last'Name' First'Name' Student'ID' SSN'
Telephone'Number' Email'Address' Major'
Federal'Work'Study'(FWS)'is'a'program'that'allows'you'to'work'in'a'position'on 'or 'of f'ca mpus.'Pos itio n s 'ar e'o ffe re d '
through'bo th'ou r'Q uinc y'an d'Plym o u th'ca m pu ses.'The'paychecks'you'earn'are'paid'out'of'your'FWS'award.'In'order'to'
be'eligible'for'FWS,'you'must'be'enrolled'in'a'minimum'of'6'credits'per'semester,'have'unme t'need'de te r mined'b y't h e '
Office'of'Financial'Aid,'and'be'meeting'the'Satisfactory'Academic'Progress'(SAP)'requireme nts 'that'are 'requ ired 'in'ord er'
to'receive'any'fed era l'aid.'Stud en ts'w ho 'are'o n'W a rnin g'or'Pro ba tion 'are'no t'eligible'to 'participa te'in'th e'pro gra m .'
Work'study'positions'are'awarded'on'the'needs'of'the'departments'that'are'requesting'help'and'are'available'
throughou t'the 'year.'
Completion%of%this%form%does%not%guarantee%a%position,%it%only %s er v e s%a s%a n %in d ica t ion %o f %yo u r %in te re s t%in %(o r %re fu s a l%of )%
a%FWS%award.%Positions%are%limited.%%
• No'student'will'be'assigned'a'position'unless's/he'has'been'first'awarded'financial'aid.
• Positions'are'available'on'a'first'come,'first'serve'basis'to'eligible'students.
• FWS'employment'can'be'terminated'at'any'time'given'just'cause.
• The'number'of'available'work'hours'throughout'the'year'can'change'based'on'remaining'funding'available.
• Paychecks'are'issued'bi-weekly'at'a'pay'rate'of'$12.00'per'hour.
• Work'schedules'are'flexible'to'meet'your'academic'scheduling'needs
• An'interview'with'department'supervisor'is'required.'An'interview'd oe s'no t'gua ran tee'a cce pta nce 'into'a
position.
• The'Financial'Aid'office'is'responsible'for'assigning'work'study'opportunities.'You'will'be'contacted'via'email
regarding'availa ble'p ositio ns.
Please'check'one'of'the'following:'
I'would 'lik e't o 'b e 'co n s id e re d 'fo r'a 'F e d er al'Work'Stu d y 'p o sit io n .'
I'decline'my'Fede ra l'Work'Study'award .'
Student'signature______________________________________'' Date___________________'