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Student Information Form

This document is a student information form for a student graduating from LCB. It requests the student's contact information, current employment details if applicable, authorization to release the student's resume, portfolio and website to employers, and authorization for LCB to obtain employment details and performance surveys from the student's employer for reporting purposes. The student signs acknowledging they understand LCB does not guarantee employment but offers career assistance.

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jmurphy222
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68 views2 pages

Student Information Form

This document is a student information form for a student graduating from LCB. It requests the student's contact information, current employment details if applicable, authorization to release the student's resume, portfolio and website to employers, and authorization for LCB to obtain employment details and performance surveys from the student's employer for reporting purposes. The student signs acknowledging they understand LCB does not guarantee employment but offers career assistance.

Uploaded by

jmurphy222
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Student Information Form

The following information is pertinent to your receipt of your graduation information as well as any additional information regarding LCB that may be mailed to you. Please complete this form in its entirety to the best of your knowledge.

Thank you for your cooperation!


Name____________________________________Todays Date__________________ Are you currently working? Yes/ No ? If so, what is the company name? __________________________________________________ Position Title? _____________________________________________________________ Responsibilities: ____________________________________________________________ Address of employment: _______________________________________________________ Supervisors Name:_____________________ Work Phone Number: __________________ Your current address/phone number: Street Address_________________________________________________________ City_____________________________State_______Zip______________________ Home Phone_____________________Alternative Phone_______________________ Your e-mail address:________________________________________________ Secondary address/phone number if different from above: (Parents/Grandparents-where you may receive mail) Name___________________________________ Relationship Street Address________________________________________________________ City______________________________State_______Zip_____________________ Home Phone_____________________Alternative Phone______________________

I authorize Le Cordon Bleu to release the following information from my school record to employers who request it: Resume Portfolio/demo reel Website information I authorize my employer to release the following information regarding my employment to Le Cordon Bleu and/or third party vendors. Individual student information will not be published externally or used for any purposes other than internal data analysis. Consolidated information will be utilized for the purposes of fulfilling regulatory graduate employment reporting requirements. Date of Employment Job Title Description of Responsibilities Salary (initial here _______ if you do not wish salary information to be released) I authorize Le Cordon Bleu and/or third party vendors to send my employer a survey regarding my employment and performance. I understand that my employer may be contacted by mail, email and/or phone until the survey is complete. If applicable, I authorize verification of my continued education at a University or College after graduating from my current academic program. This information will be utilized for the purposes of fulfilling regulatory graduate employment reporting requirements. Enrollment and Attendance Degree Program I understand that Le Cordon Bleu does not guarantee employment following graduation but does offer career planning assistance to students and graduates.

Student Name (Print) ____________________________________________________

____________________________________________ Signature

_____________________ Date

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