WVC Work Study Application

Please complete this application and return to Kelsay Stanton. She will contact you to explain your eligibility and to describe how to find a work study position if you are eligible.

Name:______Student I.D. ______-______-______

Last First M.I.

Phone Number: ______Email Address: ______

Mailing Address: ______

______

Major/Program: ______

Check one:Returning student to WVCNew student to WVC

Have you ever been employed as a work-study student at Wenatchee Valley College?

YesNo

If you are returning to the program, where were you employed? ______

Would you like to return to that position? Yes No

If you are new to the work-study program, where would you like to work?

On-CampusDept/area: ______

Off-CampusOrganization: ______

Please list any previous work experience (part-time, full-time, seasonal):

Employer / Position Title / Dates Employed / Major Duties

Students must continue to maintain satisfactory academic progress while working and attending classes. Please describe below how you plan to balance your work responsibilities with your academics.

Please list any other information you feel will assist us in helping you become a student employee. Please include any computer knowledge, special skills, interests, etc.

Disclosure: Mandatory background checks are completed for students planning to work in any of the following areas: WVC Business Office, Cashier, Financial Aid, Registration, Running Start, Testing Center, and all off-campus placements.

Within the past 10 years, have you been convicted of a felony, or released from prison for any crimes, excluding misdemeanors, summary offenses, parking tickets and traffic citations, which has not been annulled, expunged or sealed by the court? Yes No

If yes, on a separate piece of paper, give all conviction dates, prison release dates and the nature of the offenses. Please note that a conviction/criminal history record does not necessarily disqualify an individual from employment at Wenatchee Valley College.

I hereby declare and affirm under penalties of perjury that the contents of this disclosure are true and correct and complete to the best of my knowledge, information and belief.

Student Signature ______Date ______

As part of the Federal America Reads program, priority is given to students who are interested in being placed as work-study students in local elementary schools and community agencies tutoring students in reading and math. Would you be interested in one of these placements?

YesNo

Completing this application does not guarantee that you will receive a work-study job. Funding is limited and eligibility is determined by need as per the FAFSA form data. Students who file their FAFSA form by 3/15 are given priority.

Return this application to:Kelsay Stanton

Career Services

Wenatchi Hall #2130

Wenatchee Valley College

Wenatchee, Wa 98801

(509) 682-6579

For office use only:

 Eligibility Verified on ______Amount Awarded $______