On-Campus Work Authorization Form - Los Angeles City College International Student Program

Sep 17, 2026

An on-campus work authorization form for Los Angeles City College’s International Student Program collects essential student and employment details. It captures semester information, student name and IDs (Student ID and SEVIS ID), enrolled unit count, employer and department names, employment end date, and the weekly hours requested. The form includes fields for the student’s signature and date, and a compliance note stating that an F1 student may work on campus only when authorized by a DSO.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

On-Campus Work Authorization Details

Student Information

Employment Information

Signature and Date

Compliance Note

FAQs

What information does the form collect from the student?

It collects the student’s first name, student ID, SEVIS ID, semester, and the number of units enrolled for the current semester.

What employment details must be filled in?

The form requires the employer’s name, department name, employment end date, and the number of hours per week.

What is the rule regarding F1 on-campus work?

An F1 student may work on campus only when authorized by a DSO.

Sep 17, 2026

Uploaded by Oliver Hayes