Off-Campus Federal Work-Study Referral Form

OFF-CAMPUS FWSP REFERRAL FORM -undergraduate

Off Campus (Student Employment Office processes 100% of students payroll and agency is billed a percentage.) All fields REQUIRED.

Student Information

First Name:

Last Name:

HUID:

Harvard Email:

Job Information

Agency:

Job Title:

Job Description:

Period of Employment:

Term Time Summer

Job Start Date (mm/dd/yy):

Job End Date (mm/dd/yy):

*(Please Note: The job start & end date must be within the FWSP Summer date range 06/09/2008 -- 09/06/2008)

Hourly Rate :

*(Please Note: The 2008 Summer FWSP wage guidelines for undergrads is $9.00-$11.80. Employers willing to pay more than the FWSP maximum per hour must do so on their own payroll.)

Supervisor:

Supervisor's Email:

Supervisor's Phone:

Agency Information

Full Agency Address:

Mission of Organization:

Agency Source of Funding:

Billing Department:

Billing Address:

Billing Contact:

Billing E-mail:

Billing Phone:

We will email your FAS account and the supervisor provided within the next two business days to confirm your Federal Work Study Eligibility. Please visit my.harvard.edu to verify your eligibility status.
After you click on the submit button you will be provided with the links for additional tax information and other required documents.

Please Note: Term-Time Job is distinct from Federal Work Study