PLEASE PRINT ON 

EMPLOYER'S LETTERHEAD

To whom it may concern:

This is evidence of on-campus employment for:

Name of student:_____________________________

Nature of student's job (e.g., wait staff, library aide, research assistant):_________________________

Employment Start Date:____________         Number of Hours/Week:_________________

Employer contact information:

Employer Identification Number (EIN):__________________

Employer Telephone Number:____________________________

Student's Immediate Supervisor:____________________________

Employer signature (original signature):___________________________

Signatory's title:________________________________

Date:___________________________________