Submit all required documents in person to International Center.
Instructions for student:
1. Ask employer to complete Section I using blue ink. (The employer may use Acrobat Reader to complete and
print the form before signing)
2. Collect ORIGINAL letter from employer (scanned copies will NOT be accepted)
3. Make a photocopy of your current I-20, page 1 & 2. (Not including instruction page).
4. Make photocopy of most recent I-94.
5. Visit the International Center to submit all three required documents.
Section 1 - Student Employee Information, to be completed by University of Michigan employer:
This letter serves to confirm that the student named above will be employed with
______________________________________ [department or unit on campus] in the position of
______________________________________. The student is expected to begin on ___________ and
work ___________ hours weekly. The University of Michigan’s EIN number is 386006309.
Sincerely,
______________________________________ ______________________________________
Immediate Supervisor Signature Print Name and Title
______________________________________
Phone Number
Section 2 - to be completed by the University of Michigan International Center:
As provided by 8CFR 214.2(f)(9), the Designated School Official grants permission for this student to work on-
campus a cumulative maximum of 20 hours per week when school is in session and full-time during vacation
periods. The student must maintain valid F-1 student status at the University of Michigan in order to remain
eligible for this employment.
I confirm that this student is enrolled full-time at the University of Michigan.
______________________________________ ______________________________________
U-M International Center Signature Date
Louise Baldwin, Senior Associate Director/PDSO
Scott Manley, Assistant Director/DSO
David Cole, Advisor/DSO
Katherine Flanner, Advisor/DSO
Kaitlin Loomis, Advisor/DSO
Boonsiree Nuveman, Advisor/DSO
John Prescott, Advisor/DSO
Elizabeth Wiseman, Advisor/DSO
Matt Priest, Advisor/DSO
Monica Roskamp, Advisor/DSO
Jeremiah Munce, Immigration Assistant/DSO
Brittany Widin, Immigration Assistant/DSO
International Center Use Only Stamp/I-94 Checked Initials: Date:
In ACTIVE NONACTIVE Initials: Date:
Approved Initials: Date:
Follow-up Needed Initials: Date:
Out Initials: Date:
