2020
Verification of Administrative Employment
Verification of offer of employment in an administrative position to be completed by the district office
(City)
1.
(State)
Personal Information
(Zip)
(First)
County of Employment: Telephone:
Name of Immediate Supervisor:
(Last)
Position:
2.
Email:
Approved By:
Employing Agency
Title of Administrative Position:
Date Initial Employment in an Administrative Position is to begin:
(mm/dd/yy)
Signature of Employer or Designee
Name of Employing Agency:
Date
Mailing Address:
(Street)
Continued Mailing Address:
Name of Employer or Designee (print or type)
Title of Employer or Designee
Applicant’s Full Legal Name:
Adapted from CCTC Form CL-777
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Educational Services * Credential Office* 1029 J Street, Suite 500
Sacramento, CA 95814
CA