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Social Security On-Campus Work Authorization for F-1 Students
Regulations require that this letter must be printed on the letterhead of the On-Campus Hiring Department/Entity
To Whom It May Concern:
The following F-1 student is in lawful non-immigrant status at the [institution here]____________. S/he has been offered employment on-campus employment (see details below) and is authorized for this employment under the regulations governing F-1 status found at 8 CFR 214.2 (f)(9)(i)
Non-immigrant’s Information – Completed by Student
Student’s Name - Last: First:
Date of Birth - Month: Day: Year:
Identification of Employer – Completed by Hiring Department/Supervisor
Name and location of On Campus Hiring Department:
Employment Identification Number (EIN) [ ] University: 59-xxxxxxxxx
[ ] Other Company: ____________________
Employer Telephone Number
Student’s Position Title
Dates of Employment (Actual or Anticipated) Begin: End:
Hours per Week
Position Description
Sincerely,
_______________________________________
OIS Advisor (Signature) Date
_______________________________________
OIS Advisor (Printed Name)
Designated School Official, ___214F________
_______________________________________
Hiring Department/Supervisor (Signature) Date
_______________________________________
Hiring Department/Supervisor (Printed Name)
_____________________________________________ Tel. (xxx) xxx-xxxx
Title of Supervisor
To Whom It May Concern:
The following F-1 student is in lawful non-immigrant status at the [institution here]____________. S/he has been offered employment on-campus employment (see details below) and is authorized for this employment under the regulations governing F-1 status found at 8 CFR 214.2 (f)(9)(i)
Non-immigrant’s Information – Completed by Student
Student’s Name - Last: First:
Date of Birth - Month: Day: Year:
Identification of Employer – Completed by Hiring Department/Supervisor
Name and location of On Campus Hiring Department:
Employment Identification Number (EIN) [ ] University: 59-xxxxxxxxx
[ ] Other Company: ____________________
Employer Telephone Number
Student’s Position Title
Dates of Employment (Actual or Anticipated) Begin: End:
Hours per Week
Position Description
Sincerely,
_______________________________________
OIS Advisor (Signature) Date
_______________________________________
OIS Advisor (Printed Name)
Designated School Official, ___214F________
_______________________________________
Hiring Department/Supervisor (Signature) Date
_______________________________________
Hiring Department/Supervisor (Printed Name)
_____________________________________________ Tel. (xxx) xxx-xxxx
Title of Supervisor


