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Continuing Workstudy Employment Form

Start Date

Begins 01/17/2023

End Date

Until 05/31/2023

First Name

Last Name

Student #

Cell Phone #

Alternative Phone #

Email Address

How many hours are you enrolled in for this semester?

Students are required to notify our office of changes in their enrollment.

Job Description

Department

Are you returning to the same department?

Building

Room Number

Phone Number

Supervisor's Name

Supervisor's Email

I affirm that all the information provided is true and accurate to the best of my knowledge.

Yes

Continuing Workstudy Employment Form

Timesheets must be submitted on the last day of each month, late timesheet submissions will be processed o nthe next payroll.