Career Services

Authorization Sheet

As a student or alumnus of the North Dakota State College of Science, I authorize Career Services to secure information related to my employment qualifications including data on courses carried, grades received, references and other pertinent information, and to transmit such information to other persons in connection with securing employment for me. I further agree to inform the Career Services upon accepting employment or if the status of my availability changes. I understand that I do not have to sign this form but do so voluntarily.

Student ID:

First name:

Last name:

Type of job desired:

Date available:

Location preferred:

Home address:

City:

State:

Zip:

Home phone:

Present phone:

E-mail address:

Date:

(mm/dd/yyyy)

Comments:

I intend to seek full-time employment:

If no, please explain:

By submitting this information it authorizes North Dakota State College of Science to secure such data.