Eligibility Verification Form Of Seasonal Work

ADVERTISEMENT

CAMP
College Assistance Migrant Program
ELIGIBILITY VERIFICATION FORM OF SEASONAL WORK
Student’s Name:
In order to be eligible for services provided by the College Assistance Migrant Program (CAMP) under
the guidelines established by the U.S. Department of Education, a student or his/her immediate family
member (parent, brother, etc.) must have worked at least 75 days within the last two years in agriculture
as a seasonal or migrant laborer. This includes any activity directly related to the production of crops,
dairy products, poultry, livestock, cultivation or harvesting of trees, ranching, fish farm, cannery, nursery
and forestry work.
SECTION A: This section is to be completed by the employer or agency representative.
I,
attest that
meets the following:
(Employer)
(Employee)
*Seasonal Farmworker
Student
Parent/Guardian/Immediate Family Member
Has worked at least 75 days within the last two years
HEP participant
* Seasonal Employment: planting, cultivating, pruning, picking and any related agricultural activity that depends on natural
cycles.
Name of Employee
Type of Work Performed
Type of Agricultural
Start Date
End Date
Total Days
Crop
(mon/year)
(mon/year)
Worked
EX: Juan Doe
Picking
Cherries
June 2009
Aug 2009
80
(Employer’s Signature)
(Date)
(Company Title)
(Phone Number)
(Address)
(City)
(State)
(Zip)
SECTION B: This section is to be completed by the student, or parent, who meets the requirements and is
applying to the College Assistance Migrant Program (CAMP) at Washington State University
I,
, am eligible for CAMP support.
(Student’s Name)
(Student’s Signature)
(Date)
(Parent’s Signature—Only when applicable)
(Date)
Seasonal Employment Verified: YES___ NO___ Date_____________________
Comments:__________________________________________________________________________________________________________________
Processor:___________________________________________________________________________________________________________________
Confirmed:__________________________________________________________________________________________________________________
WSU CAMP | College Assistance Migrant Program | 509.335.4503 | FAX 509.335.7633 |

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Verification Form Of Eligibility For Services Verification Form Of Eligibility For Services Legal
Form I-9 - Employment Eligibility Verification Form - U.s. Department Of Justice Form I-9 - Employment Eligibility Verification Form - U.s. Department Of Justice Legal
Form I-9 - Employment Eligibility Verification - Department Of Homeland Security Form I-9 - Employment Eligibility Verification - Department Of Homeland Security Legal
Verification Form Of Supervised Appraisal Experience Verification Form Of Supervised Appraisal Experience Legal
Form Dcc-90d - Verification Form Of Employment And Wages Form Dcc-90d - Verification Form Of Employment And Wages Legal
Uscis Form I-9 Employment Eligibility Verification - Department Of Homeland Security Uscis Form I-9 Employment Eligibility Verification - Department Of Homeland Security Legal
Instructions For Form I-9 - Employment Eligibility Verification - Department Of Homeland Security Instructions For Form I-9 - Employment Eligibility Verification - Department Of Homeland Security Legal
Spouse Eligibility Verification Form Spouse Eligibility Verification Form Legal
United Healthcare (oxford) Eligibility Verification Form United Healthcare (oxford) Eligibility Verification Form Medical
Employment Eligibility Verification Form Uscis I-9 Employment Eligibility Verification Form Uscis I-9 Legal

Related Categories

Parent category: Legal
Download
Go