Employment Verification Form

Name *

First

Last

Employer's Name

Your Job Title *

Brief Summary Of Job Duties

Do you (or will you) use a computer in fulfilling your job duties? If so, please elaborate: *

Supervisor's Name

Employer's Address

Address Line 1

City

State

Zip Code

Employer Phone

Employer's Website URL

Start Date

End Date (if applicable)

$ Pay Rate (A range is permissible. Please make sure to also indicate if the amount is hourly, daily, weekly, monthly or annually.) *

Number of Hours Worked (or will be working) Per Week

Signature *

Clear Signature

The overall employment and job satisfaction of our IT graduates is very important to us — and has been since 1989.

The above form can be submitted online using an electronic signature. Alternatively, it can be printed, signed in ink, scanned (or photographed with a smartphone), and then emailed to Webmaster@PCProfessor.Edu. If you would prefer, it can be faxed to 561-750-9872 (Boca Raton) or 561-684-0882 (West Palm Beach). In the alternative, a printout can be signed in ink and then snail-mailed to the attention of the School Director at either campus:

PC Professor of Boca Raton
7146 Beracasa Way
Boca Raton, FL 33433
Phone: 561-750-7879
Fax: 561-750-9872

PC Professor of West Palm Beach
6000 Okeechobee Blvd., #200
West Palm Beach, FL 33417
Phone: 561-684-3333
Fax: 561-684-0882