FEDERAL WORK-STUDY DEPARTMENT REQUEST FORM
Completing this form does not guarantee the requested amount of Work-Study students.
Semester and Year
(ex. Fall 2024)
Department
Department Location
Note: Please specify the building and/or room/suite number.
Indicate the number of federal work-study students requested for your department
Work-Study Job Description
Note: Please outline the FWS position duties and job functions
Departmental Supervisor Printed Name
Phone Number
Date
/
Month
/
Day
Year
Date
Departmental Supervisor Signature
Submit
Should be Empty: