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Work Study Application

Thank you for your interest in the SCC Work Study Program! The Federal Work Study Program provides funds for part-time employment to help needy students to finance the costs of post secondary education. Students must file a Free Application for Federal Student Aid (FAFSA) as part of the application process for FWS assistance. The student's FAFSA must show financial need. Students must be enrolled at least 6 credit hours in Fall and/or Spring semesters in order to be considered.

Please fill out the following application. Once submitted, it will be forwarded to SCC's Work Study Coordinator, who will try to match your application with an available position. Submitting this application does not guarantee that you will be chosen to participate in the program.

SCC Student ID (seven digits)

First

Last

Additional Names (used while employed or attending school)

Address

City/Town

State/Province

ZIP/Postal Code

Email

Phone

Academic Major

Anticipated Graduation Date:

Please list work study areas of interest by order of preference.

Please list relevant skills and qualifications:

If a job requires specific courses, indicate those courses taken.

General: Have you ever worked in a Work-Study Job before?

Yes

No

If yes, what department:

Degree: Have you previously graduated from SCC?

Yes

No

If yes: Degree Earned

Year Graduated

Transportation: Do you have your own transportation?

Yes

No

Off-Campus: Are you interested in off-campus Work-Study Jobs?

Yes

No

Legal: Have you ever been convicted of a felony offense?

Yes

No

If yes, please explain:

Please list previous jobs (on and off-campus) with most recent job first:

Name of Employer

Position Title

Supervisor

Address

Telephone

Dates Employed

Summary of Duties

Name of Employer

Position Title

Supervisor

Address

Telephone

Dates Employed

Summary of Duties

Name of Employer

Position Title

Supervisor

Address

Telephone

Dates Employed

Summary of Duties

Please list two references. You may list previous employers or on-campus references that know you well (i.e. instructors, advisors, etc.

Reference 1

Name	Position/Relation	phone
Name	Position/Relation	phone

Reference 2

Name	Position/Relation	phone
Name	Position/Relation	phone

Please type your name below. By typing your name and submitting this form your are stating that all above information is true and to the best of your knowledge correct. Additionally, I authorize Southwestern Community College to contact my Refrences.

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