Riverside Community College
District
Student Employment Verification
Request
Name SSN
Phone # Date of Birth
I authorize the Student Emp
loyment Office to release information regarding my employment to an
outside agency or institution:
Signature Date
Please list below the name and address where the OR Pick up at the following Location
employment verification letter is to be mailed to: Circle one:
Moreno Valley Student Employment
Norco Student Employment
Riverside Student Employment
Please list the time period that applie
s:
Date From: Date To:
Please check all that apply:
Note to students
:
•
Please allow 7-10 business days for the verification letter to be completed. Any incorrect,
illegible information or missing signature will delay the processing of your request.
•
The RCC Student Employment Department does not verify enrollment status. If you need
enrollment verified, you must request verification of enrollment from the RCC Transcripts and
Records Office.
Office Use
Employment Type: FWS District (Non-Work Study)
Date Completed: SEO Staff Signature:
If forwarded for further verification list dept: Date Forwarded:
Department File: Academic Year:
Earnings
Dates of Employment
Funding Type
Other ___________________________________________
CWS
click to sign
signature
click to edit
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