EmailMe Form - Federal Work Study Student Request Form

Academic Year of Request *

(Example: 2019-2020)

Office/Department Name: *

Individual/Supervior Name: *

Prefix First Last Suffix

Title *

Phone *

### - ### - ####

Email *

Location/Building *

Position Classification *

(Example: Regular student, intern, etc.)

Pay Rate

$ Dollars . Cents

Position Title *

Number of positions *

Job Description *

Position Duties *

Qualifications *

Hours Start Time *

HH : MM AM/PM

Hours End Time *

HH : MM AM/PM