Evidence Of On-Campus Employment Social Security Number Application
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1DATE:
INTERNATIONAL CENTER FORM:
EVIDENCE OF ON-CAMPUS EMPLOYMENT
SOCIAL SECURITY NUMBER APPLICATION
SIGNATURE:
STUDENT INSTRUCTIONS >>
STEP 1. ASK YOUR CAMPUS EMPLOYER TO COMPLETE AND PRINT THIS LETTER FOR YOU ON THE
DEPARTMENT’S LETTERHEAD
STEP 2. BRING THE COMPLETED LETTER TO THE OFFICE OF INTERNATIONAL AFFAIRS IN RYAN HALL TO REQUEST A SOCIAL SECURITY LETTER.
STEP 3. AFTER RECEIVING YOUR LETTER FROM THE OFFICE OF INTERNATIONAL AFFAIRS, TAKE THE FOLLOWING SIX DOCUMENTS TO THE
SOCIAL SECURITY ADMINISTRATION OFFICE.
- FONTBONNE UNIVERSITY 1-20
- PASSPORT
- EVIDENCE OF EMPLOYMENT LETTER
- SOCIAL SECURITY LETTER FROM OFFICE OF INT’L AFFAIRS
- I-94 CARD
- VISA
DEPARTMENT INSTRUCTIONS >>
THIS INTERNATIONAL EMPLOYEE IS REQUESTING THAT YOU COMPLETE THIS LETTER SO THAT HE/SHE CAN APPLY FOR A SOCIAL SECURITY
NUMBER. U.S. SOCIAL SECURITY ADMINISTRATION REQUIRES THAT THIS LETTER BE PRINTED ON THE EMPLOYER’S DEPARTMENT LETTERHEAD.
PLEASE GIVE THE COMPLETE LETTER TO THE STUDENT, THEY SHOULD BRING THIS TO THE OFFICE OF INTERNATIONAL AFFAIRS IN RYAN HALL,
ROOM 107. PLEASE USE THE FOLLOWING FORMAT FOR THE LETTER AND COMPLETE THIS FORM AS WELL FOR OUR FILES.
TO WHOM IT MAY CONCERN: THIS LETTER VERIFIES THAT OUR DEPARTMENT HAS HIRED THE FOLLOWING INTERNATIONAL
STUDENT FOR EMPLOYMENT IN OUR OFFICE/DEPARTMENT.
LAST NAME (SURNAME/FAMILY AS IT APPEARS ON PASSPORT)
FIRST NAME
STUDENT ID NUMBER
DATE OF BIRTH
STUDENT’S JOB TITLE
NUMBER OF HOURS PER WEEK
EMPLOYMENT START DATE
BRIEF DESCRIPTION OF DUTIES
EMPLOYEE’S IMMEDIATE SUPERVISOR
EMPLOYER >>
EMPLOYER PHONE NUMBER
DEPARTMENT
EMPLOYER SIGNATURE
DATE
SIGNATORY’S TITLE
As a Designated School Official (DSO), my signature certifies that the above student is in F-1 visa status at
OFFICE USE ONLY:
Fontbonne University, is in good academic standing, and is eligible to work for the on-campus employer
listed above.
DSO Signature:
DSO Name:____________________________________
DSO’s Phone Number: _________________________
FONTBONNE UNIVERSITY INTERNATIONAL CENTER
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