SVSTI Placement Attestation

SVSTI

Student Placement Attestation Form
I, First Name* Last Name* attest that the training I have received in the * program was beneficial in obtaining the position of Job Title* at Place of Employment*.
Did you get a job in your program of study?
My new or current position is a paid job that meets my employment goal through:
IF PART-TIME, did you choose part-time to fit your schedule or was it because you could not find full-time work?
Employer (which location)
Hourly Wage
Employer Contact Name
Employer Contact Email
example@example.com
Employer Contact Phone Number
Format: (000) 000-0000.
Employment Start Date

MonthDayYear
Date
If a position has not been obtained in the program of study, please select the reason:
Did you take the Certification exam?
If yes, which one?
Did you pass the Certification Exam?
Did you pass on the 1st attempt?
By completing and signing this form you agree with the information provided.
Name

First NameLast Name
Signature
Today's Date

MonthDayYear
Date
Email
example@example.com
Should be Empty: