Employer Employment Verification Form | Indiana Wellness College

Employer Employment Verifcation Form

Please complete this document and list any IWC graduate that you have hired in the last quarter. We will be sending this form to be completed on a quarterly basis. This is critical data for our national accreditation.

About Your Organization

Company Name(Required)

Your Name and Title(Required)

Phone Number(Required)

ZIP Code

Date

Graduates list

Please let us know the graduates you have hired in the last quarter.

List of IWC graduate employees you hired in the last quarter

Employee First Name

Employee Last Name

Date of Hire

Still Employed Y or N

FT / PT

Did they work in their industry of training for you for AT LEAST 30 days