Work-Study Forms
Required Forms
All students who are starting work-study for the first time during this academic year are required to complete and submit ALL of the EIGHT forms below.
Important: If you have any questions regarding how to complete any of these forms, please contact: Barbara Plummer, Payroll Department, at Ext 5568 or email: bplummer@northshore.edu
Once all forms are completed, please submit to:
North Shore Community College
Att: Work-Study Office
One Ferncroft Road
Danvers, MA 01923-0843
(Or, submit in person to the Office of Student Financial Services at either campus. Please indicate somewhere on paperwork: Attention - Work-Study)
| Required Work-Study Forms |
Instructions for Student/Employer |
| W-4 Form (pdf
221k) |
Student: complete and sign first page. |
| M-4 (State Withholding) (pdf
49k) |
Student: complete and sign first page. |
| Personal Data Form (pdf
245k) |
Student: answer all questions on this form and sign/date on bottom |
| Employment Eligibility (pdf
55k) |
Student: complete and sign Section 1.
Work-study supervisor/employer: Read, complete and sign Section 2. (It is your responsibility to attach a clear copy of the student's document to this form.)
|
| Direct Deposit Form (strongly recommended) (pdf
72k) |
It is strongly recommended to have your work-study pay deposited directly to your checking or savings account. Any questions please contact our payroll office. |
| Health Insurance Responsibility Disclosure (HIRD) (pdf
43k) |
Student: complete, sign and date section II. |
| Confidentiality Statement (pdf
18k) |
Student: read, sign and date. |
| Things I Should Know (pdf
70k) |
Student: read, sign and date. |
| 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 |
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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