FWS Off-Campus Agency Employee Request 2024-25

Dear Employer,

If you are hiring/re-employing a Federal Work-Study (FWS) eligible Northwestern student to work at your agency during the academic year (September 2024 - June 2025), please complete this form to notify the FWS Program as soon as possible. If this is a new hire, we will work to officially hire the student for your position and set up their payroll records using the information provided on this form. We will also use this form to verify and update employment and payroll records as necessary for any returning employees. Please DO NOT schedule the employee to work until you have received confirmation from our office that the student is authorized to work and earn Federal Work-Study wages during the 2024-25 academic year.

Please contact us if you have any questions.

Academic Year

Academic Year 2024-25
STUDENT EMPLOYEE INFORMATION
Student's Northwestern ID Number
Must be 7 digits. Currently Entered: 0 digits.
Numeric characters only.
Student's Legal Name Student's Legal Name First Last
Hiring documents must be submitted using only the legal name.
Student's Preferred Name (if the same as above, please re-enter the name here) Student's Preferred Name (if the same as above, please re-enter the name here) First Last
If known. See note in Student's Primary/Legal Name section above.
Student's Northwestern Email

@u.northwestern.edu
EMPLOYER INFORMATION
Off-Campus Agency Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
POSITION INFORMATION
Please select the job title you prefer to be listed on the student's official employment record at Northwestern:

Please select the job title you prefer to be listed on the student's official employment record at Northwestern: Community Service Aide Reading Tutor Math Tutor

Reading and Math tutor titles should only be selected if that will be the student's primary responsibilities.
Local/Internal Position Title

Your agency may chose to identify the student employee by a different, local/internal job title (e.g., "Intern," "Library Technician," "Social Media Coordinator," etc.) within your organization. If applicable, please list the job title here for our knowledge.
Hourly Wage Rate (amount per hour) $ Dollars . Cents
Additional wage information is outlined here.

Minimum wage in Cook County, excluding the City of Chicago, is $14.00/hr.

Minimum wage in the City of Chicago is $15.40/hr.
Where will work be performed?

Where will work be performed? In Person Only Entirely Remote Hybrid (in-person and remote)
Anticipated Start Date
Date Date / MM / DD YYYY
Job Description

Purpose or role of the position within the agency. Include specific tasks that will be performed on a regular basis. You may use elements from the job posting to help aide your explanation.

Note, the description should meet the definition of community services (i.e. direct or indirect services that are open and accessible to Evanston community residents, particularly low-income individuals, and are designed to improve the quality of life and to solve issues related to their needs.) according to contract agreements and federal regulations. See additional information here.
SUPERVISOR INFORMATION

The supervisor directly oversees the student's work and is responsible for reviewing and approving student timecards.
Supervisor Name Supervisor Name First Last
Supervisor Job Title
Supervisor Email

Preferably, provide your official employer issued email address.
Supervisor Phone Number Supervisor Phone Number - ### - ### ####

Preferably, provide your employer issued phone number.
Acknowledgements and Certifications

The supervisor and agency agree to:

-Hire this student for the wage stated.
-Supervise the student's work performed.
-Approve the student’s bi-weekly timecard by stated deadlines.
-Ensure that the student-employee is paid only for hours worked.

Additionally, the supervisor and agency understand that:

-Enrollment changes or financial aid adjustments of any means may result in loss of the student's federal wage subsidy for future and past wages. The student will be notified if their financial aid is adjusted and it impacts their work-study eligibility during the academic year. The student is responsible for communicating changes to their FWS to their off-campus supervisor.

-Continued participation as an agency in the Federal Work-Study program is contingent on following these procedures.

If you are not the student's supervisor, please review the above requirements and responsibilities with the supervisor.
I have read the above and I certify that

I have read the above and I certify that I agree
Name of Person Completing this Form Name of Person Completing this Form First Last
Form Submitter's Title
Form Submitter's Email
I certifiy I am

I certifiy I am The student's supervisor Department Personnel Other
Date Submitted Date Submitted / MM / DD YYYY

FWS Off-Campus Agency Employee Request 2024-25

FWS Off-Campus Agency Employee Request 2024-25

STUDENT EMPLOYEE INFORMATION

EMPLOYER INFORMATION

POSITION INFORMATION

SUPERVISOR INFORMATION

Acknowledgements and Certifications