College Work-Study-Student Work/class Schedule Form
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College Work-Study-Student Work/Class Schedule
(Class schedules and Work schedules for each Work-Study student must be on file in department)
Name: ______________________________________________________________SS#________________________
Local Address: _________________________________________________ Phone: ___________________________
Permanent Address: _______________________________________________________________________________
Semester: ________________________ Year: ____________ ( ) Freshman ( ) Sophomore ( ) Junior ( ) Senior
Class Schedule:
CLASS
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
(Please indicate A.M. or P.M. when indicating class hours)
Total Hours:__________
Work Schedule:
(Make certain that work hours do not conflict or overlap with class hours)
NOTE: When making your work schedule, please base it around your class schedule keeping in mind that you can only work 8 hrs
per day and 20 hrs per week with no class conflicts. (If class is canceled, student most report to work at his/her usual time). If
student drops a class, it is very important that the work-study coordinator receives a copy of the official drop form. Failure to submit
information can effect time reported on your timesheet.
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
(Please indicate A.M. or P.M. when indicating class hours)
Total Hours: ____________
This is the schedule I will work for the Fall and Spring semester. If my work schedule changes, it is my responsibility to coordinate a
new work schedule with my supervisor and submit updated work schedule to the CWS Coordinate immediately. Failure to submit
updated work schedule could affect the amount I receive on my monthly paycheck.
Student Signature ___________________________________
Date________/______/_________
Supervisor Signature ________________________________
Date________/______/_________
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