Employment Verification - First Year Student
Applicant
FY 17
Date of birth
Name of Applicant (Last, First, Middle Initial)
Job title
Please list working schedule for this term in the space provided (must be at least 10 hours each week)
Total Hours Weekly
As a member of the Messiah College Community, I understand the responsibilities of requesting parking and certify that I am working ten or more
hours a week. I recognize that parking exceptions are only to be used by those who qualify. Those who abuse this privilege will forfeit their
parking spot and accept disciplinary actions as stated in the Messiah College Student Handbook. I understand that my employer WILL be
contacted to verify this information and that this verification is valid for no more than one semester at a time.
Date
Employer
Applicant signature
To be completed by Employer ONLY
Name of Company
Manager/Supervisor Job Title
Manager/Supervisor Name (Last, First)
Business address
City, State, ZIP code
(Area code) Telephone Number
Business Email
Student Job Title
Number of hours per week
Please list the hours and days of the week your employee will be working
S
W
M
TH
T
F
Duration of Employment
Sat
Date
Signature of Employer (Stamped signatures not allowed)
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