SAMPLE FORM
Employment Certificate
(On company letterhead. Includes:
Company name Address, Phone, etc.)
Employee:
Jane Doe
Company Position:
Vice President, Nutron Industries
Duration of Employment:
Part-time
1973-1978
Full-time
1978-2000
Annual Income:
$100,000.00 U.S. Dollars
$ 20,000.00 Benefits package
Prospect of
Continuous Employment:
Yes
Employer Signature
Date
Title