Student: Please read the items below and sign at the bottom of this page only if you understand everything. Please understand that any deviation from the below guidelines will result in delay in processing.

• You may not work until written approval has been given by the Work Study Coordinator.
• If you un-enroll, you must stop working immediately. In addition, any reduction in training time must be reported to the Work Study Office promptly.
• Any change of address must be reported to the Work Study Office.
• Hours must be recorded on the original time record provided to you (VA Form 8690) with supervisor and student initials in the appropriate boxes.
• At the completion of each multiple of 50 hours, make a copy of the time record and then have your supervisor sign under the last entry. Unsigned Time Records and copies of signatures are absolutely not payable. At the point of termination, submit the original time record, signed by your supervisor.
• Fractional hours must be reported in the following decimal format only. (Round all hours worked to the nearest ¼ hour.) 15 min. = .25, 30 min. = .50, and 45 min. =.75
• Any hours beyond 8 in any day or 40 in any 7 consecutive days will not be paid.
• You are allowed to take a 10 min. break for every 4 hours you work and required to take a 30 min. unpaid lunch break if you work 6 or more hours in any day.
• Any changes made to the time record in the "NO. OF HOURS WORKED" column must be lined through and re-written (do not use white-out). Supervisor initials are required for all changes made to this column.
• Do not work beyond the end date (Box "B") or beyond the total number of hours agreed to in the contract (Box 5) without prior authorization from the Work Study Coordinator or designee. Note: Extensions are approved on an individual basis and must be made in advance. Contracts will always reflect maximum entitlement.
• If you are injured at your work site, immediately report it to your supervisor and get any necessary emergency care. All accidents should be promptly reported to the Work Study Coordinator in order for medical coverage to be approved.
• All payments will be made promptly when the above stipulations are met. Payment will be mailed to your address of record and should arrive within 8-12 days of the authorization date. Direct Deposit, available only to Chapter 30 (Montgomery GI Bill) recipients, will speed up the payment process considerably, and reduce the chances of lost, and stolen payments completely.

I have read and understand the above requirements.

Signature__________________________________ Date________________

Name ( Please Print): ____________________________________________