Student Work-Study Employment Application
Personal Data (Print or Type Information)
Student Name:
Date of Application:
Social Security Number:
Student ID Number:
Address:
Street
City
Telephone No:
State
Email:
Zip Code
@my.sanjuancollege.edu
Educational Information
High School Attended:
Name
H.S. Graduation Date:
-OR-
City
GED Date Received:
SJC Degree Program:
State
GED State:
Estimated Graduation Date:
List any other Degrees, Certificates, or Special Training that you have received:
Prior Employment History (Any prior employment as a San Juan College Student Work-study Employee must be provided)
Have you previously worked as a Student Work-study employee at San Juan College?
YES
NO
If YES, when were you last employed (date/semester):
If YES, for which Department did you work:
If YES, Who was your direct Supervisor:
List Employment History for the past three years:
Employer:
Name
Dates of Employment:
City
State
Responsibilities/Job Skills:
Employer:
Name
Dates of Employment:
City
State
Responsibilities/Job Skills:
Employer:
Name
Dates of Employment:
City
State
Responsibilities/Job Skills:
Employer:
Name
Dates of Employment:
Work-Study Employment Application (4/25/16)
City
Responsibilities/Job Skills:
State
San Juan College (SJC) Student Work-study Program. The student work-study program is a financial aid program
that provides eligible San Juan College students an opportunity to offset their cost of attendance by earning money
through part-time employment at the college or at an approved off-campus community service worksite.
Work-study Eligibility Requirements. To qualify for work-study employment students must:
1. Have completed the financial aid application process for the academic year in which work-study employment is
being sought, including:
a. Have completed the Free Application for Federal Student Aid (FAFSA) process,
b. Must have a complete and up-to-date ISIR (Institutional Student Information Report) on file in the Financial Aid
Office (cannot be in a Financial Aid Verification status).
2. Be enrolled in, and pursuing a San Juan College financial aid eligible program of study.
3. Meet San Juan College’s Financial Aid Satisfactory Academic Progress (SAP) requirements. SAP requirements
include:
a. Enrolled in and making progress toward graduation from a San Juan College Financial Aid approved program
of study.
b. Maintain a minimum cumulative grade point average of at least 2.0 (some student worker positions may require
a higher cumulative grade point average for employment).
c. Maintain a Cumulative Course Completion Rate of at least 67%.
d. Complete their declared program of study within 150% of the credits required for program completion.
a. Be enrolled in, and remain enrolled in, at least six credits that apply toward graduation from a declared San
Juan College program of study during the semester in which work-study employment is awarded.
4. Not be employed at the college as a regular San Juan College employee.
Required Attachments
1. San Juan College class schedule for the semester in which work-study employment is being requested.
2. San Juan College unofficial academic transcript (if applicable).
Applicant’s Certification and Agreement
I hereby declare the information provided on this application is true, correct, and complete to the best of my knowledge. I
authorize investigation of all statements contained in this application, as may be necessary, in arriving at an employment
decision. I understand that prior to employment I will need to successfully complete a Criminal Background Investigation.
Student Signature:
Date:
Please visit the San Juan College Quality Improvement and Career Center for assistance in gaining work-study
employment.