Work Verification Form

For work completed during the period of August 2022 through August 2023. You need one submission for every internship during this time frame.

Student Work Verification Form

Please include your first, middle and last name.

3. Work Period Included in this Form

Please provide the month of your start and end dates. NOTE: One internship and one company per form. If you worked for two companies, each for five weeks over the period of one summer - you need two forms.

Identify year if not available in field above.
Must be an @purdue email address.
Examples: Jobsite cleanup, site layout, solicited sub bids, posted RFI, daily reports, assisted in estimating, etc...

Company Information

Please use the address of the office that you worked in or that your jobsite/project reported to.
You must enter a valid e mail address and phone number in order to record and verify your hours. Please take the time to find and then confirm a correct email for your supervisor.

NOTE: You will receive an email once you submit your work experience.  Please save this email for your records.  It will be needed in CM 39000 and CM 49000.