Financial Aid Home

Employer Request for Student Work-Study

* indicates a required field

* Is this for the summer or the academic year?

* Student Name:

Student Mailing Address:

* Student ID #:

Student HRMS Employee ID #:

* Student Phone #:

* Student CU E-mail Address:

* Employer Name (Dept/Agency):

* Employer Address/Campus box:

* Employer Phone #:

Employer Fax #:

* Supervisor Name:

* Supervisor E-mail:

Please provide the following information so that we can process your request:

Is this student currently working for your department? Yes No

If yes, what was the student's start date? (MM/DD/YY)

Do you have hourly earnings to transfer for the student? Yes No

If the student's only financial aid eligibility consists of accepted loans, he/she is willing to decline loans in the following amount:


(Note: Loan funds that have already disbursed must be repaid to the Bursar's Office)

  • Completion of this form does not guarantee an award.
  • If we are unable to grant the request upon receipt, it is kept on file should funds become available.
  • Students must have remaining financial aid eligibility to be considered for an award.
  • Students are notified of an award with a revised award letter.
  • Employers are notified with a letter or email.