The Career Center Placement Confirmation

Instructions: Please tell us about the job you accepted. Thank you.
  Your Career Coach:
Student Name:
  Student Major:
Local Residence (Street, Apt. Number, etc.):
City: State: Zip:
E-Mail: Phone: - -
Employer (Agency/Company Name):
Street Address:
City: State: Zip:
Supervisor's Name: Title:
Office Address:
E-Mail: Phone: - -
Starting Work Date: / / My Duties Are:
Ending Work Date: / /
My Job Title:
Type of Position:
Denote work experience on transcript?
 
Earning: $ per
Hours Worked Per Week:
Will you be receiving academic credit for your work?
Please indicate your degree of satisfaction with the services provided by The Career Center.