Career Services Employment Verification Form

Contact Information

Full Name: (First M. Last)

Program

Campus

Employment Information

Current Employer

Job Title

Schedule: (Full-Time/Part-Time)

Hours Worked Weekly

Salary/Wage:

Supervisor's Name

Supervisor's Email

Start Date

Does your current position require a degree?

Are you currently working in your field of study?

Does your current position utilize any of the skills you obtained during your time at Fast Track Career Prep?

Release and Authorization

Fast Track Career Prep, Inc. is authorized to use this document as a release form for the purposes of verifying my externship/graduate employment – to include start date, position title, employer/supervisor contact information, salary, and duties. I state that I have read the above release before the execution and am familiar with its contents thereof.

Signature of Student

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Today's Date

Month

Day

Year