Southern New Hampshire University SERVE/Community Service Work Study Employment Notification Form

2006-2007

To be filled out by an authorized representative of the partner organization and student and then returned to The Center for Service and Citizenship.

Position (if applicable)
Organization
Web site address
Street address
City, state, zip
Duration of assignment: __/__/__ to __/__/__

Approximate Number of hours per week: ______

Supervisor Name
Title
Phone
Email

Supervisor signature __________ Date __________

Student Name __________

Student Signature __________ Date __________

This form must be returned to the Center for service and citizenship before students can begin working!