Work Study Inquiry Form

Parent or Guardian Name(s) REQUIRED Please fill out this field. Please enter valid data.

Student Name REQUIRED Please fill out this field. Please enter valid data.

Student - Incoming Grade Level REQUIRED Please fill out this field. Please enter valid data.

Reason for wanting to be a part of the work study program: REQUIRED Earn money for tuition Give back to the school Need a part-time job Please fill out this field.

Please indicate the time slots that work for you, Monday-Friday: REQUIRED 1-2pm 2-3pm 3-4pm 4-5pm 5-6pm 6-7pm Please fill out this field.

Amount of time desiring to work each week: REQUIRED 1-2 Hours 2-3 Hours 3-4 Hours 4-5 Hours 5-6 Hours Please fill out this field.

If other amount of hours, please indicate here: Please enter valid data.

Placement Opportunities Interested in: (Check all that apply) REQUIRED Lunch - Serving Custodial - Collect/Change Classroom Garbage Cans Custodial - Sweep/Clean Hallways & Central Spaces Custodial - Sweep/Vacuum/Straighten Up Classrooms Please fill out this field.

Please list any applicable skill sets or past experience with the above checked duties/opportunities:

Work Study Inquiry Form

Work Study Inquiry Form - Please Fill Out One Form Per Student

Next Steps: