DATE: To Whom It May Concern:

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DATE:
To Whom It May Concern:
This is evidence of on-campus employment for:
Nature of Student’s job:
Start Date:
End Date:
Number of Hours per Week:
Employer Identification Number:
81-6001713 (UM)
Department:
Student’s Immediate Supervisor:
Department Address and Telephone Number:
Employer Signature (Original):
Employer Title:
_____________________________________
This form must be completed in its entirety before the student will receive work
authorization. The original of this letter should accompany a Social Security application.
A copy of this letter should be taken to Foreign Student and Scholar Services, 219
Lommasson. If you already have a Social Security number, this original letter should go
to Foreign Student and Scholar Services.
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