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Work-Study Forms

Required

All work-study students must submit the required forms and documents listed below. Failure to do so will result in nonpayment of work-study.

Forms/Documents Instructions
W-4 Form (pdf 225k) Complete and sign first page only
Personal Data (pdf 245k) Answer all questions on this form and sign
Employment Eligibility (pdf 55k) Complete and sign Section 1 only
Confidentiality Statement (pdf 18k) Sign and date where indicated
Things I Should Know (pdf 1k) Print, sign and date two copies. Keep one for your records and submit the other.
Copy of Social Security Card Make sure it is signed (you may submit a copy of your valid or invalid U.S. passport instead of your social security card and photo ID)
Copy of Photo ID This can be either a valid driver’s license, school ID, or any ID card issued by federal, state or local government

Optional

In addition to the required documents above, you may submit either one or both of the optional forms below:

Forms/Documents Instructions
Massachusetts Employee's Withholding Exemption Certificate (pdf 1k) Complete and sign first page only
Payroll Authorization for Direct Deposit (pdf 1k) Answer all questions on this form and sign

Please download, complete and submit ALL documents to:

North Shore Community College
Jeanne Purzycki, Student Financial Services
One Ferncroft Road
Danvers, MA 01923-0843

Important! Please make sure that you have attached a clear copy of a photo ID (e.g., driver's license or school ID) AND your social security card.

For more information, contact us at (978) 762-4189 or (781) 477-2191 or fin-aid@northshore.edu.

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Last Updated: December 09, 2007