Instructions For Employment Eligibility Verification Page 2
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1
2
3Auburn University Alien Employment Verification and Tax Form
New I-9 New to University
Change in Status/Passport – Re-verify I-9
Extension of Existing I-9 / Status Verification
TO BE COMPLETED BY FOREIGN NATIONAL EMPLOYEE (Name must be identical to that on the passport.)
Last Name (Surname)
First Name
Middle
Email Address
Country of Citizenship
Country of tax residence
Date of birth (m/d/yr)
Foreign
Address
City
State
Country
Postal Code
Do you have a social security card?
Yes
No
Applied for
Stop here and print/sign your signature below if you are a lawful permanent resident of the USA.
Please list all periods of stay in the USA during the last 3 calendar years and all periods of stay as an F, J M, or Q visa holder since 1/1/1988
First date of entry into US under your CURRENT immigration status?
/
/
(month, day, year)
Visa
If J-1 – list
Have you taken any
Date of Entry
Date of Exit
Purpose of stay
type
category
treaty benefits?
Oldest Entry First
Yes
No
Yes
No
Yes
No
There is more space for entry dates on the next page if needed.
I the above-named hereby certify that all of the above information is complete, true and correct. I understand that if I apply for a change of status
from that which I have indicated above, I must report such change to AU and complete an additional form. Failure to report such information
may result in termination of employment until proof to eligibility to work is provided.
Printed Name
Signature
Date:
TO BE COMPLETED BY THE OFFICE OF INTERNATIONAL PROGRAMS
BANNER ID#
/
/
/
/
Dates of Legal Employment (mo/day/yr):
Begin
End
SEVIS / A ID#:
I-94#:
I-20
DS-2019
Passport expiration
EAD card
LPR card
H-1B approval notice
Other (explain)
OIP Signature
Date
TO BE COMPLETED BY EMPLOYEE’S HOME DEPARTMENT
(Please see instructions on reverse side.)
Department _________________________ How many hours per week does this student work for your Department? __________
Departmental Signature ________________________________
Printed Name: ______________________________________
TO BE COMPLETED BY THE HIRING DEPARTMENT / OFFICE
(Please see instructions on reverse side.)
After employment this student will be working __________ hours / week for Auburn University.
Department __________________________________________
Signature ________________________________________
OIP Staff Only:
Date Banner GOAINTL updated/verified: ________________________
Initials: _________________
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