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Off-Campus Employers: Tell Us Who You Hired
For funding purposes, the Federal Government requires that we gather hiring information about any Lane Community College student you hire. Please do so here. We appreciate you taking the time to fill out this short form.
1. Your Name
Your name
*!!*
2. Your Email Address
Your email address
*!!*
*!!*
3.
Your Business Name (if applicable)
Your Business Name (if applicable)
*!!*
*!!*
4.
Did you Hire a Lane Student?
Yes
No
*!!*
5.
Name of the Lane Student You Hired
Name of the Lane Student You Hired
*!!*
*!!*
6.
Lane Student L#, if known (not SS#)
Lane Student L#, if known (not SS#)
*!!*
7.
Job Title (as originally listed on Lane's web site)
Job Title (as originally listed on Lane's web site)
*!!*
8.
Hourly Wage
Hourly Wage
*!!*
*!!*
9.
Hours Worked per Week
Hours Worked per Week
*!!*
*!!*
10.
Start Date
Start Date
*!!*
*!!*
11.
End Date (Estimated or Confirmed)
End Date (Estimated or Confirmed)
*!!*
12.
General Comments About Your Lane Hire
General Comments About Your Lane Hire
*!!*
13.
General Comments about the Lane Online Job System
General Comments about the Lane Online Job System
*!!*
