Graduate Employment Verification Form

F1 students: Submit this completed form no later than 90 days from the OPT approval date.
F1 students: In case of changing from one employer to another, report this change within 10 days.

Thank you for taking the time to fill out this verification form.
Our accreditation requires that a third party verify graduate placement data. In the near future, you might receive a follow-up call/email from our third-party verifier Auxicent to confirm the information in this form.

1 - PERSONAL INFORMATION (TO BE COMPLETED BY THE STUDENT)
Student Name Student Name First Last
Cell Phone Cell Phone - ### - ### ####
Student Email
Current Address Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student SEVIS Number
Program
Graduation Date: Graduation Date: / MM / DD YYYY
Job Title
OPT Approved Start Date OPT Approved Start Date / MM / DD YYYY
OPT Approved End Date OPT Approved End Date / MM / DD YYYY
Duties Performed:
2 - Employer's Information
Company Name:
Employer EIN number: Optional
Employer Address: Employer Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor’s/ Company's Website:
Supervisor’s Name: Supervisor’s Name: First Last
Supervisor’s Title:
Supervisor’s Phone Number: Supervisor’s Phone Number: - ### - ### ####
Supervisor's Email:
Position Start Date Position Start Date / MM / DD YYYY
Is this a paid position?

Is this a paid position? YES NO
Salary:
Employment is:

Employment is: Part-time Full-time
Explain how this employment is related to your course of study?
(This information will be uploaded to your SEVIS record)

This information will be uploaded to your SEVIS record
Previous Employment End Date: (If Applicable) Previous Employment End Date: (If Applicable) / MM / DD YYYY
Upload Company Offer Letter

Attach Files

Please select Company Offer Letter and OPT Card
OPT Card

Attach Files

Please select Company Offer Letter and OPT Card
3 - Were you employed by this company prior to graduation?

3 - Were you employed by this company prior to graduation? YES NO
If yes please elaborate how this program contributed to your ongoing professional development (job promotion, possible future promotion, maintaining job related skills etc).

Comment Box
Please attach supporting documents if necessary.

Attach Files

Please select Company Offer Letter and OPT Card
4 - Graduate Survey

Please indicate your level of satisfaction about your overall experience with our services you received during your study at IGU.

Rating Scale: 4=Excellent, 3=Above average, 2=Average, 1=Below Average, N/A=Not Applicable
	4	3	2	1	N/A
Gained academic knowledge expected at his/her degree level	Gained academic knowledge expected at his/her degree level4	Gained academic knowledge expected at his/her degree level3	Gained academic knowledge expected at his/her degree level2	Gained academic knowledge expected at his/her degree level1	Gained academic knowledge expected at his/her degree levelN/A
Developed capacity for independent thinking	Developed capacity for independent thinking4	Developed capacity for independent thinking3	Developed capacity for independent thinking2	Developed capacity for independent thinking1	Developed capacity for independent thinkingN/A
Relevance of courses toward your degree	Relevance of courses toward your degree4	Relevance of courses toward your degree3	Relevance of courses toward your degree2	Relevance of courses toward your degree1	Relevance of courses toward your degreeN/A
Level of preparation to enter the field of employment	Level of preparation to enter the field of employment4	Level of preparation to enter the field of employment3	Level of preparation to enter the field of employment2	Level of preparation to enter the field of employment1	Level of preparation to enter the field of employmentN/A
Value of education received versus the cost of education	Value of education received versus the cost of education4	Value of education received versus the cost of education3	Value of education received versus the cost of education2	Value of education received versus the cost of education1	Value of education received versus the cost of educationN/A
Student orientation & extra-curricular activities	Student orientation & extra-curricular activities4	Student orientation & extra-curricular activities3	Student orientation & extra-curricular activities2	Student orientation & extra-curricular activities1	Student orientation & extra-curricular activitiesN/A
Overall satisfaction of the education received	Overall satisfaction of the education received4	Overall satisfaction of the education received3	Overall satisfaction of the education received2	Overall satisfaction of the education received1	Overall satisfaction of the education receivedN/A
Career guidance and placement services	Career guidance and placement services4	Career guidance and placement services3	Career guidance and placement services2	Career guidance and placement services1	Career guidance and placement servicesN/A
Would you recommend IGU to your friends	Would you recommend IGU to your friends4	Would you recommend IGU to your friends3	Would you recommend IGU to your friends2	Would you recommend IGU to your friends1	Would you recommend IGU to your friendsN/A

Comments/ Compliments:
Graduate Name Graduate Name First Last
Signature of Graduate:

Draw or Type

Clear

Full Name
I certify that the above information is true and factual. I give IGU permission to contact my employer to verify my employment.
Date Date / MM / DD YYYY

Graduate Employment Verification Form

Graduate Employment Verification Form

1 - PERSONAL INFORMATION (TO BE COMPLETED BY THE STUDENT)

2 - Employer's Information

4 - Graduate Survey

I certify that the above information is true and factual. I give IGU permission to contact my employer to verify my employment.