Please choose whether you are accepting or declining your Federal Work Study Award. 
If you choose to decline the award, please enter your initials and last four digits of your SSN, check the reason(s) for declining and submit the form.
If you choose to accept the award, please enter your initials and last four digits of your SSN, then continue below and fill out all of the requested information. Do not submit the form until you reach the end of the questions.

Your Initials: Last 4 digits SSN:  I DECLINE THIS AWARD ** Complete this portion ONLY if you are declining this work study award ** I decline all or part of my federal work study award for the following reason(s), Check all that apply: I am working full-time or part-time and the hours available will not fit into my schedule. Child care is not available for me during the hours requested for FWS. Accepting this award would cause conflicts with my academic studies. Transportation is not available to me. Other Reason:  I ACCEPT THIS AWARD ** Complete this portion ONLY if you are accepting this work study award ** Personal Information: Name: Student ID: Street Address: City: State: Zip Code:   Phone (Day):   Phone (Evening):   Email Address:       Times You Are Available For Work: Monday: Friday: Tuesday: Saturday: Wednesday: Sunday: Thursday:       Which department(s) would you prefer to work in?    Academic Services   Financial Aid   Admissions Support   Foundation   Athletics   Learning Assessment Center   Biology Lab   Library   Career Services   Marketing   College of Distributed Learning   South Omaha Outreach   Disability Services   Strategic Initiatives   Enrollment Management   Test Center   Executive Office   Tutoring   College of Arts and Sciences (Offsite Locations)   Bellevue Chamber of Commerce   Literacy Center for the Midlands   Bellevue Public Library   Sienna Francis House   GOCA Nutrition Center   YWCA Please list any special skills or talents including foreign languages:   Please list any physical restrictions you may have:   Do you have transportation if hired for a job off campus?       Previous Employment (Last one first, including work-study positions): Name/Address: Dates of Employment: Position: Duties:   Name/Address: Dates of Employment: Position: Duties:   Name/Address: Dates of Employment: Position: Duties: