Updated: 06/2019
Verification of Employment as an Administration
Clear Administrative Services Credential Program
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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
methods:
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:
(MM/DD/YYYY)
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:
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signature
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