JOB INFORMATION FORM

JOB INFORMATION FORM
Goodwill Technical College assists students with job placement. This form is used to capture your current employment data so that our Career Services department can better assist you.
Student Name*
Program*
Enrollment Semester*
Fall, Spring, or Summer and Year
Email Address*
example@example.com
Employer*
Name of Company
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Name*
Phone
Supervisor or Company Phone Number
Supervisor's Email
example@example.com
Job Title*
Your Job Title
Date Employed*

MonthDayYear
Date
Employment related to program major:

YesNo
Rate of Pay*
Hourly Pay Rate or Annual Salary
Hours per week*
Benefits*

YesNo
Type of Employment*

Full TimePart TimeSeasonalSelf-Employed
Should be Empty: