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Takedown Form for Off-Campus Work-study Employers

* indicates a required field

Job #, if Known

Job Title:

* Phone number listed on job posting:

* Agency Name:

* Contact Person (First and Last Name):

* EMAIL ADDRESS:

What is the name of the CU student you hired?

What is the pay rate for this student?

Remember to send the student to the Student Employment Office to complete the necessary paperwork. You must have the work-study eligibility form before they can begin working for your agency.