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Placement Verification

We want to know what you’re doing, where you are working, and if you’ve furthered your education. Updating your contact information and supporting current Withlacoochee Technical College students are just some of the ways you can stay in touch with us. If you have found employment, joined the military, or are furthering your education.

*Program:
*Year Graduated:
*Last Name:
*First Name:
Middle Name:
*Last 4 Digits of Social Security #
(This is only visible by administration)
(The 4 Digits are encrypted and used
for data entry purposes by our staff):
*Street Address/ Residence:
*City:
*State:
*Zip:
*Phone:
*Email:

Tell us what you are doing: (Check all that apply)

I am working at:
Place of Employment
Job Title
Supervisor's Name
Work Address
City
State
Zip
Do you believe your education at WTC was adequate for your job?
If No, what specific area was lacking?
I am continuing my education:
Name of School:
Subject/Specialty:
I am joining or have joined the military
I am currently unemployed
Enrollment Verification: By checking this box, I authorize my employer to release employment information to the Program Instructor or Placement Coordinator at Withlacoochee Technical College for verifying my employment.