Updated: 06/2019
Verification of Employment as an Administration
Clear Administrative Services Credential Program
This form is required as part of the Clear Administrative Services Credential program. Candidates must submit
verification they currently hold a position requiring a preliminary Administrative Services Credential.
Verification should be provided from their current employer.
The completed form OR verification on district/employer letterhead may be submitted by one of the following
Mail: Brandman University (Attn: Office of Admission) 16355 Laguna Canyon Road, Irvine, CA 92618
Emailed to: apply@brandman.edu
Last Name: First Name:
Title of Candidates Administrative Position:
Dates of Initial Employment in an Administrative Position:
Name of the Employing Agency:
Mailing Address:
Address (Line 1)
Address (Line 2)
City: State: Zip Code:
County of Employment: Phone:
Name of Immediate Supervisor:
Official Title
Name of Employer or Designee:
Title of Employer or Designee: Official Title:
Signature of Employer or Designee: Date
*Position must be verified by the Human Resources Office of Employing Agency
Employing Agency:
Supervisor Name
Employment Verification
Candidates Name:
click to sign
click to edit