Career Services Forms

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Career Services
220 Campus Life Building

Office Hours: 
Reception, Employer & Admin.
(CLB 220, 240 & 260)
8:00AM - 4:30PM
Monday - Friday

Career Resource Center (CLB 235)
Note: The Career Resource Center (CRC, in CLB 235) will be closed Oct. 20 & 21 due to the Career Fairs taking place.
Regular hours for the CRC will resume on Oct. 22.

Regular Hours for Walk-in Services
10:00AM -  3:00PM
Monday - Friday

Division of Student Affairs & Enrollment Management

Out for Work Gold Certification

Part-time Reporting Form

This on-line form allows Career Services to document the part-time employment successes of NIU students and alumni. It may be filled out by either student/alum or employer. This information is kept confidential.

If you have any questions, please contact Kathy Zuidema at 815-753-8344.

All *fields (required information) must be completed for successful form submission.
Gather pertinent information before you begin the application.

* First Name:
* Last Name:
Student Job Information
*Job Title:
*Hourly Wage:
*Start Date :
End Date:
*Hours per week:
Employer Information:
(Example: Motorola, Jewel/Osco, etc.)
*Job Location:
* How position was secured:

Check all that apply. If more than one, hold down CTRL key when selecting.