Statement Concerning F-1 Student’s Application for a Social Security Number To the Social Security Administration: _______________________________________________ (name of student), is an international student at Boston College, and has been offered on campus employment at ______________________________________________(name of office or department). Nature of student’s job (e.g., wait staff, tutor, research/teaching assistant, etc.): ______________________________________________________________ Start Date: _____________________ Number of Hours/Week: ___________ Employer contact information: Employer Identification Number (EIN): 042103545 Employer Telephone Number _______________________________________________ Name of Student’s Immediate Supervisor ______________________________________ This employment offer is contingent on the student’s eligibility to work on campus as is determined by the Office of International Students and Scholars. Employer Signature (Original): ___________________________________________ Title __________________________________________________________________ Date: ___________________