Social Security On-Campus Employment Confirmation Letter Template printable pdf download

Social Security On-Campus Employment Confirmation Letter Template

Social Security On-Campus

Employment Confirmation Letter

J-1 Student

NON-IMMIGRANT INFORMATION

TO BE COMPLETED BY HIRING SUPERVISOR (PLEASE PRINT CLEARLY)

LAST

FIRST

Student Name

MONTH

DAY

YEAR

Date of Birth

EMPLOYER / EMPLOYMENT INFORMATION

NAME

Name and Location of

On-Campus Hiring Dept.

LOCATION

Employer ID Number

(EIN)

###-###-####

Employer Telephone

Number

Student’s Position Title

BEGIN (MM/DD/YYYY)

END (MM/DD/YYYY)

Date of Employment

(Actual or Anticipated)

Hours per Week

Position Description

Hiring Department / Supervisor –

Signature & Date

Hiring Department / Supervisor -

Printed Name

Title of Supervisor

WORKING WHILE AWAITING AN SSN

An J-1 student may work while the Social Security Number (SSN) application is being processed. Employers may wish to reference SSA’s fact sheet:

Employer Responsibilities When Hiring Foreign Workers. This fact sheet contains information on how to report wages for an employee who has not

yet received an SSN. For more information, visit online at

Updated: 9/13/2016

Social Security On-Campus Employment Confirmation Letter Template