Fillable On-CampusEmploymentApplicationPacket On-Campus Employment Application Packet

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On-CampusEmploymentApplicationPacket On-Campus Employment Application Packet

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On-Campus Employment Application
WHO MAY APPLY?
1. 2.5 GPA or above
2. Currently enrolled in 12 or more units
3. Completed 12 units at Pasadena City College
HOW TO APPLY:
1. Find a job on-campus and obtain a job offer in writing from the employer
2. Take job offer letter to Human Resources (C-204) and obtain work authorization documents (Request
for Student Worker form and Work Authorization form)
3. Bring all the following documents to the ISC in room D-204:
Job offer letter from employer (sample of letter attached)
Documents from Human Resource Office
Verification letter in On Campus packet to be complete by student
Copy of I-20 (page 1 and 3 only)
Copy of passport
Records of all classes taken at PCC (unofficial transcript). If you are applying during the break,
then also submit a copy of your registration for the upcoming semester.
4. We will return the following documents to you in 10 business days:
Human Resources documents
Job offer letter
Letter of support from the ISC for the Social Security Administration
A checklist of documents needed to apply for a Social Security number
Important Note: All paperwork requests require 10 business days to process.
Revised 05/22/2018
_________________________________________________ ______________________________
On-Campus Employment Social Security Verification Letter
Student to complete:
Student Name: ______________________________ ______________________________________ _____
Last Name First Name MI
Current Address ___________________________________________________________________________
Number & Street
Apt #
City & State
Postal Code
Date of Birth:_______________ Phone#: _________________ Email: _______________@go.pasadena.edu
mm/dd/yyyy
mm/dd/yyyy
Semester to Graduate: __________________________
I-20 End Date: ______________________________
PCC ID#:___________________
SEVIS ID #: N00___________________
I will not drop below 12 units during the Fall and Spring semesters while employed. If I am authorized to be
enrolled in less than 12 units, I understand that I will not be able to work on capus during the specific semes-
ter that I am not full time. I understand that if I do not intend to enroll in the upcoming Spring and Fall
semes-ter, I cannot work during the break. I understand that my work hours per week are limited to 20 hours
during the Fall and Spring semester, and I can work full time during summer and winter holidays.
Please provide me with a verification letter so that I may apply for a Social Security number.
I state that the informaon provided on this form is true. I further understand that it is a violaon of United States
law to give false informaon to the college.
Student Signature Date: mm/dd/yyyy
Important Note: All paperwork requests require 10 business days to process. revised 4/25/2018
_________________________________ __________________________________________
________________________
EXAMPLE
Example of Letter from Employer
Note: Please use PCC Letterhead.
To: International Student Center
From: ______________________
Department/Division
Date: ______________________
(mm/dd/yyyy)
_______________________, a student at Pasadena City College, is offered a position as a _________________
Name of student Job title
in ____________________ for the __________________ program at Pasadena City College starting the
Office name Name of area
_____________ semester, employment will start on ___________ and end on____________.
Fall or Spring Date Date
__________________will be employed as a student worker with a work schedule not exceeding twenty hours
a
Name of student
week during the school semester ________________________________________________________
List days and hours
I _______________________ in the _______________________ will be his/her Supervisor.
Name of supervisor Name of department
Name of Supervisor Signature of Supervisor
Date
*The start date must be a future date of at least 4 weeks to allow for processing in the International Student
Center, Human Resources and the Social Security Administration.
Important Note: All paperwork requests require 10 business days to process.
Revised 05/22/2018
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On-CampusEmploymentApplicationPacket On-Campus Employment Application Packet

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Completed 1 November 2019

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