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Description: Tags: 0102Vol6AppB

This document is a need assessment form for an agency to request Federal Work-Study students. It collects information about the agency such as its mission, funding sources, staffing levels, and available student job opportunities including job titles, pay rates, schedules, duties and qualifications. The agency provides details on positions for the upcoming summer and academic year. It also asks if the agency has previously hired FWS students and collects data on past placements.

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anon-515179
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
21 views

Description: Tags: 0102Vol6AppB

This document is a need assessment form for an agency to request Federal Work-Study students. It collects information about the agency such as its mission, funding sources, staffing levels, and available student job opportunities including job titles, pay rates, schedules, duties and qualifications. The agency provides details on positions for the upcoming summer and academic year. It also asks if the agency has previously hired FWS students and collects data on past placements.

Uploaded by

anon-515179
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Need Assessment for APPENDIX

b
FWS Community
Service Program
Agency Name:_________________________

Date:_________________________________

Contact Name:_________________________________

Phone:_______________________________

Address:______________________________

1. _____ Non-Profit _____For Profit

2. Agency Mission Statement and Description of Clients Served:

_______________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

3. Agency Funding Sources (check all that apply):

_____Federal

_____State

_____County/City

_____United Way

_____Other (explain)

4. Agency’s Fiscal Year:__________ to __________

5. Agency’s Staffing (number of positions):

6-57
Vol. 6 — FWS, 2001-20002

_____Full-time paid staff

_____Part-time paid staff

_____Student employees

_____Volunteers

6. How many student jobs may be available at your agency


during:

Summer 2001 ______

2001-2002 Academic Year ______

Summer 2002 ______

7. For each student job expected to be available as indicated in


#6, provide the following information, attaching a separate
sheet for each position.

Job Title

Rate or Range of Pay per Hour

Begin and End Dates

Work Schedule-Days and Hours

Total Hours/Week

Description of Duties

Qualifications and Experience (indicate preferred or required)

8. Has your agency hired students through the Federal Work-


Study Program in the Past?

_____YES _____NO

If YES:

Number of students: _______

Dates employed: __________________

Average length employed: _____________

9. Additional Comments:

6-58

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