PRE-EMPLOYMENT SKILLS

SABER College
3990 West Flagler Street, Suite 103, Miami, Florida 33134
Phone: (305) 443-9170
SABER College
ACKNOWLEDGEMENT OF PRE-EMPLOYMENT SKILLS FORM
Program of Study*
Date Received*
MonthDayYear
1
*Name*
First NameMiddle NameLast Name
Signature*
Clear
* Print Name as it appears in your Driver License.

STUDENT DISCLAIMER
I,*
Social Security Number (SSN)
, authorize
Place of Employment
to provide data and information regarding my present job.
* Print Name as it appears in your Driver License.
Student's Signature*
Clear
Student's Address*
Date
MonthDayYear
Date
* Privacy Disclaimer: Your Social Security Number is required for identification purposes only. We take data protection seriously, and your information will be encrypted and securely stored.

EMPLOYMENT VERIFICATION
Placement:
5 days
* If not employed only fill out 1 and 2.
1. Student Name*
First NameMiddle NameLast Name
2. Social Security Number (SSN)*
3. Company Name *
If not working write N/A
4. Employer/Supervisor Name*
If not working write N/A
6. Telephone (Work)
Please enter a valid phone number.
7. Job Start Date
MonthDayYear
2
8. Employee's Position
9. Full Time/ Part Time
10. Salary
11. Actively Working as of today's Date?
YesNo
If the answer is NO, Please provide date of termination:
MonthDayYear
3
The following section is intended to be completed exclusively by authorized personnel from SABER College.
Name (School)
Date
MonthDayYear
4
Signature (School)
Clear

REFERENCES
Name*
Relationship*
Phone Number*
Please enter a valid phone number.
Company
Address
Name
Relationship
Phone Number
Please enter a valid phone number.
Company
Address
Name
Relationship
Phone Number
Please enter a valid phone number.
Company
Address
DISCLAIMER & SIGNATURE
- I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired.
- I authorize any person, organization, or company listed on this application to furnish you any and all information concerning my previous employment, education, and qualifications for employment. I also authorize you to request and receive such information.
- In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.
- I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.
Signature*
Clear
Date*
MonthDayYear
19
Should be Empty: