WORK STUDY APPLICATION

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Work Study is a program in which senior students are permitted to earn credit for working part-time. Students may leave school after 4th or 5th hour each day. Students may have a work schedule that is not during the time of 5th and 6th hours, but the credit is earned through the hours, not the time of day.

Students MUST have a part-time job prior to applying for work study. If you do not currently have a job, you will NOT complete this application at this time. You need to select your electives for a full day of classes for all 6 hours. Once you obtain a job, you can complete the application and have your schedule adjusted by your counselor.

Students are required to complete the comparable number of hours per week at his work site that is reflective on his/her class schedule. 1 period = 90 hours/semester = ½ credit, 2 periods = 180 hours/semester = 1.0 credit, and 3 periods = 270 hours/semester = 1.5 credits. Students taking work study for more than 2 hours are not eligible for KEES money their senior year.

By completing this application, I understand and agree that my course grade will reflect all aspects of my work study experience in regards to covering responsibility set forth by the rules of the program and my grade will be determined by the following:
1. Completing and returning this contract to the counselor upon scheduling.
2. Submitting paystubs on a regular basis to show work hours starting the first pay period after August 15. Students will be given additional information on the 1st day of school.
3. Submitting the work evaluation prior to the last week of the semester to the teacher. This evaluation is the final exam for the course.

If you are under the age of 18, permission of your parent/guardian is required.

Email *

AS A PARENT OR LEGAL GUARDIAN, I understand the coursework for Work Study Program occurs at a community job site and securing the work placement for the program is the responsibility of the student. I understand the student is required to complete the comparable number of hours per week reflective of their scheduled hours of work study. I can also verify that my son/daughter will be able to provide her/his own transportation to and from the work place. I understand NO FCPS BUS WILL BE PROVIDED AND CARPOOLING OF STUDENTS IS NOT ALLOWED. *

Parent will print, sign, scan, and email the permission form.

Parent will copy and paste the above statement and email the student's counselor.

Parent will print, sign, and either mail or drop off the permission form.

Last Name *

First Name *

Middle Initial

Student's Cell Phone Number including area code: Example: 859-123-4567 *

Student's Personal Email. *

Parent/Guardian First and Last Name *

Parent's Cell Phone Number including area code: Example: 859-123-4567 *

Parent/Guardian email address: *

Workplace Business Name: *

Workplace location/address: *

Workplace phone number including area code: Example: 859-123-4567 *

Workplace Supervisor/Manager's Name - First and Last: *

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