VERIFICATION OF EXPERIENCE
Please have your experience verified by your current and/or previous employer using this form. Experience must be verified by one
of the following: Superintendent, Assistant Superintendent, Director of Personnel, Director of Human Resources or personnel in a
similar position. You only need to verify experience that is appropriate for the issuance of your credential. School/District personnel
other than applicant must verify all experience.
Alterna
tively, experience may be verified on the district or employing agency letterhead and signed by the Superintendent, Assistant
Superintendent, Director of Personnel, Director of Human Resources, or personnel in a similar position.
The compl
eted form OR verification on district/employer letterhead may be submitted by one of the following methods:
1.
Mail: Brandman University (Attn: Office of Admission) 16355 Laguna Canyon Road, Irvine, CA 92618
2. E-mail: apply@brandman.edu
This is
to verify that: __________________________________________________________________________________
(Name of Applicant)
Has been
employed from: ____________________________________ to _______________________________________
(MM/YYYY) (MM/YYYY)
In the position of (check one):
Teacher
Administrator
Education Specialist
Counselor
Resource Specialist
Other (specify):
In the foll
owing grade or level: _________________________________________________________________________
In the area
or subject of: ______________________________________________________________________________
Full-Time
Part-Time (specify): hours/day days/week
Day-to-Day Substitute
School/District Name: ________________________________________________________________________________
Address: ___________________________________________________________________________________________
Telephone Number: _________________________________________________________________________________
Name of Verifier: ___________________________________Title of Verifier: ____________________________________
Signature: ______________________________________________________________ Date: _____________________
Verification of Experience 05/2019 1/1
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