Social Security On-Campus Employment Confirmation Letter Template

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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

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