CPT Faculty Approval Form

Student Information

First Name

Last Name

Student Major

Student Instrument

Employer Information

Employer First Name

Employer Last Name

Company Name

Employment Start Date
*Note that this cannot be backdated

Employment End Date
*Note that this cannot be after the student graduates and cannot be more than 365 days past the Employment Start Date

Faculty Attestation

Faculty Name

I approve my student to engage in this employment opportunity. This part-time employment in music will enhance and support their curricular study with the Longy School of Music.

Faculty E-signature

Electronic Signatures: I acknowledge and agree this form may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.

Yes