Class Climate online-survey - Student Work-Study Application

Personal Information

Last Name

First Name

If you know your Westmoreland Student ID number, please enter it here (7 digits beginning with 0):

0

Last 4 digits of your Social Security Number (ONLY if Student ID is not available):

Date of Birth (MM/DD/YYYY):

/ /

Preferred Phone Number:

- -

Skills and Job Performance

Do you have experience with any of the following (select all that apply):

Access

Excel

PowerPoint

Word

Typing

Customer Service

If you selected Typing, how many words per minute?

List other work-related skills here:

List any previous work experience here:

If you selected General Office, specify which area.

If you selected Lab, specify which area.

If you selected Other, specify location.

Indicate the location(s) where you'd like to work (select all that apply):

Youngwood (main campus)

Advanced Technology Center

Fayette

Indiana

Latrobe

Murrysville

New Kensington

Public Safety Training Center

Registration Information

Indicate the number of credits you plan to take for the semesters listed below. Note: Students must take at least 6 credits per semester and maintain a grade point average (GPA) of 2.0 or higher to be eligible for work-study.

Fall 2023

Spring 2024

Summer 2024

What is your major?

Expected date of graduation (enter month and year, MM/YYYY format):

/

Select the semester(s) for which you are applying for a work-study position (select all that apply):

Fall 2023

Spring 2024

Summer 2024

Financial Aid Information

Have you completed the 2023-2024 Free Application for Federal Student Aid (FAFSA) or the FAFSA Renewal?

Yes

No

If yes, date completed (MM/YYYY format):

/

Students must complete a FAFSA or the FAFSA renewal form to be considered for employment; go to https://studentaid.gov

Will you be accepting a student loan for 2023-24?

Yes

No

Students who are eligible for direct student loans may have reduced work-study eligibility.

Are you receiving any other funding for 2023-24, such as WIA, TRA, OVR, Tuition Reimbursement or outside scholarship?

Yes

No

If yes, please list source(s) and amount(s).

Affidavit

If you qualify for an award, your information will be given to the work-study supervisors who are hiring you. You may view open positions on the student portal and apply to any openings. No positions are guaranteed. If hired, you may not start to work until the Financial Aid Office gives you permission. You must complete all required employment forms. Students will not be permitted to work in any departments in which a relative is employed.

As a condition of your employment with Westmoreland, all students are required to obtain FBI, Federal Criminal History Record/Act 114 Clearance, Pennsylvania Criminal Record Check/Act 34 Clearance, and Pennsylvania Child Abuse History/Act 151 Clearance, with the required processing fees being paid by the college.

I certify that the information contained herein is true and correct. I understand that false or inaccurate information may result in cancellation of any or all Financial Aid.

Yes

No

Your response indicates that you have misrepresented the information contained herein. Your application will be rejected.

Notice of Nondiscrimination

Westmoreland County Community College will not discriminate in its educational programs, activities or employment practices, based on race, color, national origin, sex, sexual orientation, disability, age, religion, ancestry, union membership or any other legally protected classification. Announcement of this policy is in accordance with state law including the Pennsylvania Human Relations Act and with federal law, including Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of 1990. Inquiries should be directed to the Affirmative Action Officer (presently Sylvia Detar) at 724-925-4190 or in Room 353D, Westmoreland County Community College, Student Achievement Center, Youngwood, PA 15697.

Thank you - please click Submit to process this application.