CUNY ON-CAMPUS EMPLOYMENT (F-1 and J-1)
International Students Office
CUNY ON-CAMPUS EMPLOYMENT (F-1 and J-1)
8 CFR214.2(F)(9)(i)
THIS FORM IS NOT VALID WITHOUT A SIGNATURE AND STAMP FROM THE INTERNATIONAL STUDENTS OFFICE. FILLING OUT AND SUBMITTING THIS FORM DOES NOT AUTOMATICALLY AUTHORIZE YOU TO START WORKING
You must fill out two of this form, one original for your records and the other original must be submitted to the International Students Office Staff for audit
Name
Name
*
First
Last
CUNYFirst ID#
*
Must be
8
digits.
Currently Entered:
0
digits.
Passport Expiration Date
*
Immigration Status
*
Immigration Status
F-1
J-1
Department where you would be working
*
Name of Supervisor
Number of Hours a week
*
Are you working anywhere else
*
Are you working anywhere else
Yes
No
If yes, How many hours per week?
Final semester?
*
Final semester?
Yes
No
Below, please write in the year in the appropriate box. You may fill out one box per semester. You must be registered for classes in the semester and year you want to get authorization for work beforehand
What Semester do you plan to work
*
What Year do you plan to work
*
Are you registered?
*
Are you registered?
Yes
No
Number of hours a week
*
Student's Signature (Sign this when you come to the International Students Office)
Date
Date
*
/
MM
/
DD
YYYY
If different from the one above or working somewhere else simultaneously
Department
Total of hours working per week
Name of supervisor
This is to certify that the student whose name appears above is a full time student at Hunter College of the City University of New York and is certified as in-status as an F-1 or J-1 student and registered for the semester and year indicated.
The student
Semester/Year or until date indicated
*
Signature of Designated School Official/Alternate responsible Officer/Departmental Stamp
*
Date
Date
*
/
MM
/
DD
YYYY
Click here to print a copy of the completed form.
Fill out this form, submit it and then come in to get the stamped form
