Work Study Application


Name
Birthdate
 Year Month Day
Cell Phone Number
Are You A U.S. Citizen?
 Yes No
Do you have a sibling currently attending USESS?
 Yes No
Do you come from a single parent family?
Yes No
Do you have a car on campus?
Yes No
Work Study Information
Student Status
Concentration
Have you applied for work study before?
Yes No
Why are you applying for the work study program?
If we cannot place you on the work study program, is there any reason you would not be able to obtain outside work?
 Yes No
Desired work study position
Minimum work study hours needed
Please list any previous work experience you have
Please list any special skills that would qualify you to work in your desired work study area
Do you have teacher's aid experience?
 Yes No
Financial Status
 The following will be kept confidential, but will help us determine each student's work study need.
Outside Income
per month (relatives, church, etc.)
Current Savings
 $ (example: 100)
Approximate income from other jobs this semester
 $
Other scholarships received this semester
I was/will be able to put this amount on my school bill as a down payment
$
Monthly expenses for which you are responsible
 (cell phone bill, etc.)
The work study program is available to full-time, U.L.A. dormitory students, based on student financial needs and on campus job openings. Funding for this program is limited; therefore, we cannot guarantee employment for all who apply. Students with the greatest financial needs will be considered first.

Work Study Employment Agreement

  • I have a financial need for on campus employment in order to attend the University of Los Angeles.
  • I will adjust my work hours at times during the semester to meet the needs of my job.
  • I will adjust my class schedule and extracurricular involvement to meet the needs of my job.
  • I will work in the area I am assigned and perform my job to the extent of my ability.
  • I understand that I will be discharged from my job if I fail to work my scheduled time or if my work is not satisfactory
  • I understand the regulations of U.L.A. for participating in the work study program and my signature indicates my agreement to the conditions of accepting on campus employment
It is a privilege to participate in the work study program. As an employee of U.L.A., I have a responsibility to the college, but most importantly, to the Lord. I must view this job as service unto Him.

*By submitting this form you are agreeing to the above statements.