{Complete this form when requesting a Social Security
Number. This form is signed by your employer, which
is the professor who hired you. Complete the sections
highlighted in red. This signed form must be presented
at the International Office (when you pick up their SSN
letter) and then the Social Security Office when you
submit your application.}
DATE
To Whom It May Concern:
This is evidence of on-campus employment for: [student’s name]
Nature of student’s job: [i.e. Research Assistant, Teaching Assistant, Grader, etc.]
Start Date:
Number of Hours/Week:
Employer contact information*: _____3 6 2 1 6 7 8 1 7______________________
(Employer Identification Number (EIN))
________________________________________
(Employer Telephone Number)
__________________ ______________________
(Student’s Immediate Supervisor)
Employer Signature (Original): ________________________________________
Signatory’s Title:
________________________________________
Date:
________________________________________
*The EIN # for Northwestern University is 362167817.