Commission of the Council on Occupational Education
EMPLOYER PROGRAM VERIFICATION FORM
for Postsecondary Programs
INSTRUCTIONS:
-
Complete three of these forms for each program at each campus.
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This form must be signed by a bona fide employer who is in a position to make hiring decisions.
Name of Institution
Address
City/State/Zip
Name of Program
Mode(s) of Delivery of Program (check ALL that apply):
100% Traditional Hybrid Distance Education
The length of this program is (indicate the number of hours in all boxes that apply):
Clock Hours Semester Credit Hours Quarter Credit Hours
The amount of tuition and fees charged for the total program is: $
EMPLOYERS’ VERIFICATION STATEMENT
I have reviewed the (name of program):
program and to the best of my knowledge and experience have listed below the verification range of
remuneration for those who enter this field.
EMPLOYER
Name:
Title:
Company Name:
Phone Number/Extension:
Address:
City/State/Zip:
Verifiable range of remuneration based on yearly, full-time employment for those that enter this field upon
completion of the program is from $ to $ _ annually.
Signature: Date:
Salary Range, Signature, and Date may be provided digitally
during the COVID-19 Federal Emergency Period.
(January 2021)