MBU Partnership
Employee Confirmation Form
Please only submit this form if you have already applied to MBU. If you have not yet applied, click
here
for our free online application.
First Name
Last Name
Email
Please use the same email address as on your MBU application
Employer Name
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Job Title
Please upload proof of your employment. This can be any document that contains both your name and the name of your employer. Examples include a letter from your supervisor or the Human Resources department on company letterhead, or a photo of your employee ID badge.
Please upload proof of your employment. This can be any document that contains both your name and the name of your employer. Examples include a paystub with pay detail information marked out, or a photo of your employee ID badge. Bon Secours Mercy Health associates can also use The Work Number (800-367-5690), or
www.theworknumber.com
and provide Bon Secours Mercy Health’s employer code (12925) to obtain proof of employment documentation. (This will need to be completed at least once every academic year.)
Please upload proof of your employment. This can be any document that contains both your name and the name of your employer. Examples include a paystub with pay detail information marked out, or a photo of your employee ID badge. Healthspan associates can also use The Work Number (800-367-5690), or
www.theworknumber.com
and provide Bon Secours Mercy Health’s/HealthSpan employer code (12925) to obtain proof of employment documentation. (This will need to be completed at least once every academic year.)
