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Department Letterhead
Social Security Administration
Cheyenne, WY 82001
RE: (Student/Researcher Name)
To Whom It May Concern:
This is to certify that
(Name of F-1 Student/J-1 Scholar/Other)
has been offered, or is already working in, general on-campus employment.
Nature of students/individuals employment (e.g. wait staff, library aide, research/teaching assistant, etc.):
Start Date Number of Hours/Week:
Employer contact information: 83-6000331
Employer Identification Number (EIN)
Employers Telephone Number
Students Immediate Supervisor
Employers Signature (Original):
Signatorys Title
Date
Revised 1/7/2011
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