Employment Work Authorization Form For Job Offer Letter printable pdf download

Employment Work Authorization Form For Job Offer Letter

YMCA of Silicon Valley

Employment Work Authorization Form

for Job Offer Letter

Date: __________________________

Branch:________________________

New Hire

Rehire

Reinstatement

Employee Legal Name:

Address:

City:

Phone:

State/Zip:

Birthdate: ______/______/__________

Social Security #: ___________________________________

All Qualifications Have Been Met for this Position

Job Title:

___________________________________

Rate of Pay:

___________________

Start Date:

___________________

______________________________________________________________________________________________

Employee Status

Fulltime

Part-time

Exempt

Non-Exempt

Scheduled Hours Per Week: ____________________

This is a Seasonal/Temporary Employee or Job with the following End Date: ________________

Other / Job Information

Job Code:

___________________________________

Location Site:_________________________________

*Please list other job codes and locations on a separate form

Comments: ______________________________________________________________________________________

_________________________________________________________________________________________________

Approval

Supervisor Name:

Supervisor Signature:

Date:

Rev 05 2013

Employment Work Authorization Form For Job Offer Letter