Statement of Responsibilities And Authorization to Release Employment Information

State University of New York

Queens Educational Opportunity Center

158-29 Archer Avenue Jamaica, New York 11433 • P:718.725.3403 • F:718.658.5604

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I understand that the Queens Educational Opportunity Center is a state funded center and that I will work diligently to improve my employment status and, upon completion of an EOC vocational/career oriented program, and upon my employment I will provide verification of my employment to the EOC.

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I also understand that my employment I will provide the Sr. Career Job Developers a copy of my first pay stub to verify employment and starting salary.

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I also upon entering employment authorize my employer to release the following information with regards to my employment: 1. Date of Employment I 2. Job Title I 3. Salary (weekly or bi-weekly) I 4. Date of first paycheck

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SUNY Queens Educational Opportunity Center