(ISSS) – O
University of Connecticut 2011 Hillside Road, Unit 1083; Storrs, CT 06269 Phone: 860-486-3855 Fax: 860-486-5800
LETTER TEMPLATE FOR
TO SOCIAL SECURITY ADMINISTRATION
Instructions to the student:
Please ask your supervisor to download this letter at
> Students > Employment > Social Security
under “Sample Employment Verification Letter for Social Security” and follow the instructions below for completing the
employment section of the form. You must then bring it to ISSS (McMahon Hall, Main Floor) for certification by an
International Advisor/Designated School Official (DSO).
Instructions to the employer:
Please go to
> Students > Employment > Social Security under “Sample Employment Verification
Letter for Social Security” and download the Letter Template for On-Campus Employment Verification. Copy and paste
the content of this letter including the ISSS DSO’s endorsement section (from
into a blank document. Fill in the
required student employment information (top section) and print it on your business letterhead stationary. Please sign in
blue ink and return to the student.
# Letter starts here.
[Date—current within last 30 days]
To Whom It May Concern:
This letter is to certify that [student’s name] will be working for [# of hours] per week at [name of
employer]. [His/her] job will be to [describe job]. [His/her] employment start date is [date].
For additional information, please contact the student’s supervisor, ___________________________ at
[Name of Author]
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * *
UConn International Student & Scholar Services DSO Endorsement:
I certify that the above-mentioned student (date of birth: _____________) is enrolled as a full-time student
pursuing a _______________________ degree in _____________________________ at the University of
Connecticut and is eligible to work on-campus. The student’s F-1 SEVIS # is: ______________________
and their SEVIS record is active.
International Advisor (DSO) Name: __________________________________Telephone #: 860-486-3855
International Advisor (DSO) Signature: _______________________________Date: __________________
# Letter ends here.
IS SS 105 Sample F-1 On-Campus Employment Verification Letter
Rev. 01/08/2014 ag/jnk