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EMPLOYMENT VERIFICATION FORM

Employment Verification Form

Last Name

First Name

Student Number

E-mail

Graduation Date [MM/YYYY]


Program of Study (Choose One)



Employer

Address

City State ZIP Code

Phone

Date of hire [MM/YYYY]

Full-time Part-time

Job Title

Hourly Pay

Supervisor


Is this employment at this organization a result of (check all that apply).
Your Davis College Education

Career Service Referral

Externship

The Collegiate Employnet Job Fair

Help from Davis College Faculty and Staff

The information contained on this form is for office use only and will be kept confidential. By clicking on the submit button you agree that doing so acts as your electronic signature.

ADDRESS
4747 Monroe Street
Toledo, OH 43623

CONTACTS
Email: learn@daviscollege.edu
Phone: (419) 473-2700
Toll Free: (800) 477-7021

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