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EMPLOYMENT VERIFICATION FORM

Employment Verification Form

This form is used to gather information from our graduates regarding their work situation - to determine to what degree they are utilizing their vocational training from Tamalpa Institute.

Name*
First Last
Which program did you most recently graduate from?*
Phone Number*
Email*
Enter Email Confirm Email
Do you have a website?
If you have a website / Facebook page for your business, please state here.
Are you registered with ISMETA?*
Are you registered with IEATA?*
Your current employment status*
Has your existing employment (or self-employment) benefited from your training at Tamalpa Institute?*
- Wider range of tools to use with clients
- Increase in referrals
- New opportunities in performance / art /music
- New teaching opportunities
- My work has not changed
- New educational opportunities as a student
- Other
Please Describe other employment benefits
If your training at Tamalpa Institute has opened up a new direction / new position - please let us know. Also, if it has changed your work in some other way, please let us know that too.
Primary Job / Employment Details
If you have more than one job, you’ll be able to enter those details after completing this section.
Employment Status*
Please indicate the employment status that best describes your primary work situation:
- Employee (you receive a W-2)
- Independent Contractor (you receive a 1099)
- Self-employed
Company Name*
Position/ Job Title
Date employment began*
Date employment ended*
please insert date if employment/self-employment has ended, or "current" if still relevant
Primary contact within the organization*
If self-employed (NOT employee, NOR an Ind.Contractor with a 1099), then put your own name here
First Last
Contact phone number*
Contact email*
Enter Email Confirm Email
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you use Tamalpa Life/Art Process at this primary job?*
- Yes
- No
- Not applicable
Hours worked at primary position*
Enter the average number of hours per week that you devote to this position
Salary information - Primary Job*
As a vocational school, we are required by the BPPE to collect accurate wage data for our graduates. This information is kept confidential, and included in general statistics that are made available on our performance fact sheets for prospective students. We appreciate you providing this information.
Do you work more than your primary job?*
- Yes
- No
Job 2 Details
Job 2: Company Name
If you do not have a second job - please write "N/A". in this field.
Job 2: Name of your own practice if different (DBA ...)
Job 2: Position/ Job Title
Date Employment began
Date Employment Ended
Please enter the date that employment/self-employment in this position ended, or if still active, please write "current"
Job 2: Primary contact within the organization
If self-employed (NOT employee, NOR an Ind.Contractor with a 1099), then put your own name here
First Last
Job 2: Contact phone number
Job 2: Contact email
Enter Email Confirm Email
Job 2: Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hours worked per week at second job
Salary information - Second Job*
As a vocational school, we are required by the BPPE to collect accurate wage data for our graduates. This information is kept confidential, and included in general statistics that are made available on our performance fact sheets for prospective students. We appreciate you providing this information.
Do you use Tamalpa Life/Art Process at this second job?*
- Yes
- No
- Not applicable
Do you have a third job?*
- Yes
- No
Job 3 Details
Job 3: Company Name
Job 3: Name of your own practice if different (DBA...)
Job 3: Position/ Job Title
Date Employment began
Date Employment ended
Please enter the date that this employment / self-employment ended, or if still active, please write "current"
Job 3: Primary contact within the organization
If self-employed (NOT employee, NOR an Ind.Contractor with a 1099), then put your own name here
First Last
Job 3: Contact phone number
Job 3: Contact email
Enter Email Confirm Email
Job 3: Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you use Tamalpa Life/Art Process at this third job?*
- Yes
- No
Hours worked per week at your third job
Salary information - Third Job*
As a vocational school, we are required by the BPPE to collect accurate wage data for our graduates. This information is kept confidential, and included in general statistics that are made available on our performance fact sheets for prospective students. We appreciate you providing this information.
Thank you for taking the time to provide us with your employment information. Please review your information above and then click Submit.
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Name
This field is for validation purposes and should be left unchanged.

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