Southern University and Agricultural and Mechanical College

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Student Worker Request Form



                           Office of Career Services
                           Email: workstudy_cs@subr.edu
                           Ph: 225-771-2368
                           Fax: 225-771-3272

Department
Building
Address
Department Code
Phone Number
Semester
Supervisor

(First Name)

(Last Name)
E-Mail Address
Alternate Supervisor

There is a two student limit per department if you are requesting previous students. Please provide the name (s) and student ID number.

Student Name
Student Name
Student ID
Student Name
Student Name
Student ID

* If additional student are needed state your reason and the total number of students needed for your department below:

Number of Students
Brief justification of additonal students needed:

* Student(s) must be approved by Financial Aid before placement.

Revised June 2013

 

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