BAUMAN COLLEGE Employment Verification Form

Graduate Information
First Name
Last Name
Email
example@example.com
Group #
Graduated
Month
Grad Year
Year
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Which program have you most recently graduated from?
What is your current employment status?

Primary Job: Employment Details
Please indicate the employment status that best describes your primary work situation:
Does your employer consider you Part time or Full time?
Please indicate average days per week you are scheduled to work:
Company or Business Name
Name of your practice if different from company
Primary contact within the company
Contact Phone Number
Format: (000) 000-0000.
Contact Email
example@example.com
Holistic Chef Industry (choose all that apply)

Other
Nutrition Consultant Industry (choose all that apply)

Other
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer’s Phone Number
Format: (000) 000-0000.
Do you have a website, or Social Media platform (Instagram, TikTok, Facebook, etc.)?
Supervisor’s first and last name
Date Hired

MonthDayYear
Approximate date you began your practice and/or started seeing clients

MonthDayYear
Holistic Chef Job Title

Other
Nutrition Consultant Job Title

Other
Thank you in advance for helping us collect accurate industry data:
Are you willing to state wage information?
Average amount earned per 1-hour of work completed
Average paid hours per week: (paid at either an hourly rate, or combined with your respective position, or hours you charge for your services)
Average unpaid hours per week: (office hours, travel, marketing, Food prep, etc.)
Out of 52 weeks in a year, how many weeks do you anticipate working at this job?
Did you perform any student Externship/Practicum hours at the location where you work?
Did you obtain any of your current clients and/or this work space through your student Externship/Practicum?
Employment Statement
Please confirm that you are employed in your training related field
Please confirm that you are employed in your training related field
Please confirm that you are employed in your training related field
Please confirm that you are employed in your training related field
Self-Employment Statement
Please confirm that you are choosing to be self-employed in your training related field (i.e. Pursuing your own private practice or working as an independent contractor).
Please confirm that you are choosing to be self-employed in your training related field (i.e. Pursuing your own private practice or working as an independent contractor).

To finish, press submit
Should be Empty:

Graduate Information

Bauman College Placement Assistance - WAIVER

Primary Job: Employment Details

Thank you in advance for helping us collect accurate industry data:

Employment Statement

Self-Employment Statement