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Employment Verification

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Employment Status
Employment Status*
Graduate Information
First Name*
Last Name*
Student ID#
Programs Completed*
- Cosmetology
- Massage Therapy
- Full Specialty
- Nail Technician
- Spa Therapies
- Barber Styling
- Barber Styling-Combination
Please select all that apply
Campus Location*
School Start Date
Date Format: MM slash DD slash YYYY
Graduation Date
Date Format: MM slash DD slash YYYY

Position*
Employment Date*
Date Format: MM slash DD slash YYYY
Salary Type
Company Name*
Supervisor's Name*
Street Address*
Address Line 2
City*
State*
Phone*
Email*
Preferred Method of Contact*
NOTICE: You may be called within the next 30 days to verify employment.
Are You the Graduate or the Employer*
- Graduate
- Employer
Signature: Type Your Name as Your Signature*
Today's Date*
Date Format: MM slash DD slash YYYY

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