2.12.2021
On-Campus Employment & SSN Request Form
You may not begin your on-campus employment until you have received your SSN card.
F-1 Students: Utilize this form to apply for a Social Security Number (SSN) based on on-campus employment.
J-1 Students: Utilize this form to apply for a SSN with or without on-campus employment or to obtain on-campus employment
authorization; authorization is required for each on-campus employment opportunity.
INSTRUCTIONS: The student must complete Section One; Babson hiring supervisor/department must complete and sign Section Two.
An international student advisor in ISSS/Glavin Office completes Section Three and returns the form to the student. All fields are
required. For complete details about on-campus employment and the SSN application process visit www.babson.edu/isss
SECTION ONE: STUDENT
SECTION 1: HIRING SUPERVISOR VERIFICATION
SECTION TWO: HIRING SUPERVISOR / DEPARTMENT
SECTION THREE: INTERNATIONAL STUDENT ADVISOR / GLAVIN OFFICE (HOLLISTER 220)
For submission, follow instructions at www.babson.edu/isss > Employment > On-Campus Employment
GLAVIN OFFICE OF INTERNATIONAL EDUCATION (GLAVIN OFFICE)
Hollister Hall 220, Babson Park, MA 02457-0310 Phone: 781-239-4565
E-mail: isss@babson.edu Website: www.babson.edu/isss
Employer’s Identification Number (EIN) ________042-103-544______________________________________________________
Hiring Department _________________________________________________________________________________________
Job Title _________________________________________________________________________________________________
Job Description/Duties:______________________________________________________________________________________
_________________________________________________________________________________________________________
Expected Start Date _______________ Expected End Date _______________ Approximate Hours per Week _____________
mm/dd/yyyy mm/dd/yyyy
Supervisor’s Name _________________________________________________________ Phone ________________________
Supervisor’s Signature ______________________________________________________________________________________
The above named student is currently enrolled as a full-time student at Babson and maintaining lawful F-1/J-1 student immigration status and as
such is authorized to work part-time (up to 20 hours/week) on-campus during the semester or full-time (over 20 hours/week) during vacation periods.
For J-1 students, on-campus employment authorization is granted in accordance with the U.S. Federal Regulations [22 CFR 62.23 (g) (1) (ii)]
governing student status and will be reported through SEVIS.
DSO/ARO Name _______________________________________________ Signature ___________________________________
DSO /ARO has updated SEVIS/ISSM (as applicable) Date _____________________________
I am (check one ___ working on campus ___ not working but applying for a
SSN letter (J-1 students/scholars onluy)
Student’s Name _________________________________________________________________ Date of Birth: _______________
(Last) (First) mm/dd/yyyy
Immigration Status (check one): ____ F-1 Student ____ J-1 Student with employment
____ J-1 Student without employment (skip section 2)
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