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Student Work Permit Request
Only the director should submit work permit requests via Etrieve. Please fill out all fields!
* is required
Zip
Library Department
Select...
Collection Services
Digital Services
Instructional Services
Public Services
Technical Services
Student's Name *
Last Name
Student ID# *
Semester *
Select...
Fall
Spring
Summer (June-July)
# of Hours Enrolled for Selected Semester *
Have you confirmed workstudy status w/Financial Aid? *
Yes
No
If yes you confirmed, does the student qualify?
Yes
No
If yes student qualifies, enter their allocation.
If no you didn't confirm, why not?
How many hours per week do you plan to work this student for the selected semester? *
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Success! The form has been submitted to the director.