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JOB SERARCH ASSISTANCE WAIVER FORM

I will not be seeking Job Search Assistance through the Davis College Career Services Offices at this time. If, at a later date, I do request assistance I realize that I must adhere to the procedures and policies of the Career Services Office at that time.

Last Name

First Name

Street Address

City State

ZIP Code Phone

E-mail Address


Program of Study (Choose One)


Last Quarter in Attendance

What is your reason for waiving job assistance? (Mark all that apply.)
Continuing Education at


Going into the Military


Health Reasons


Moving


Personal Reasons


Other


Have Job

Employer

Address

City State

Zip Code

Phone

Date of hire (MM/YYYY)

Job Title

Hourly Pay

Supervisor

I had this job before beginning my education at Davis College. It is related to my field of study and I wish to keep it.

I had this job before beginning my education at Davis College.
         it is NOT related to my field of study but I wish to keep it.


I got this job due to my education at Davis College.


I got this job due to my externship.


I got this job due to the help of the Davis College staff or faculty.


I got this job on my own.

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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