Federal Work Study Agreement

Please fill out the form below.

By completing this form I am stating that I am in compliance with the Federal Work-Study requirements. I am also aware that I must have completed every requirement to be considered for a position.

Student Name

First Name

Last Name

FVSU ID

FVSU Email

Student Phone Number

Supervisor Name

First Name

Last Name

Supervisor Email (if Known)

Academic Year

Term

Current Position

Department

Please check each statement.

I have completed the FAFSA

I am currently making Satisfactory Academic Progress

I will be enrolled in at least 6 credit hours

I will not work more than 20 hours per week

I will not exceed my Award Amount

I am working under the supervision/department stated above