"Verification of Employment Form" - British Columbia, Canada

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Download "Verification of Employment Form" - British Columbia, Canada

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Verification of
Employment Form
Complete the information for certified teacher and then submit this page to your employer(s) for completion. Note: A
form is required from each School District or Independent School with which the teacher has been employed in the last
ten years. (Duplicate if necessary.)
INFORMATION FOR CERTIFIED TEACHER – Please print clearly in dark ink
School/District No:
School/District Name:
Educator’s Surname:
Birth Surname:
Educator’s Given Names:
Position:
Certificate No:
Date of Birth
:
(YYYY/MM/DD)
TO BE COMPLETED BY DISTRICT PERSONNEL – Please print clearly in dark ink. Submit the completed
form to us by email at trb.certification@gov.bc.ca.
School Year(s)
Teaching Load
Full-time
1.0
Part-time
List each year
School Year(s)
Number of Days
separately
Teacher On Call
School District Personnel Officer: (Please Print)
School District or Independent School Stamp
Signature:
Title/Position:
Date:
August 2019
Ministry of Education
Mailing Address:
Telephone: 604 660-6060
400-2025 West Broadway
Toll Free: 1 800 555-3684
Vancouver B.C. V6J 1Z6
Verification of
Employment Form
Complete the information for certified teacher and then submit this page to your employer(s) for completion. Note: A
form is required from each School District or Independent School with which the teacher has been employed in the last
ten years. (Duplicate if necessary.)
INFORMATION FOR CERTIFIED TEACHER – Please print clearly in dark ink
School/District No:
School/District Name:
Educator’s Surname:
Birth Surname:
Educator’s Given Names:
Position:
Certificate No:
Date of Birth
:
(YYYY/MM/DD)
TO BE COMPLETED BY DISTRICT PERSONNEL – Please print clearly in dark ink. Submit the completed
form to us by email at trb.certification@gov.bc.ca.
School Year(s)
Teaching Load
Full-time
1.0
Part-time
List each year
School Year(s)
Number of Days
separately
Teacher On Call
School District Personnel Officer: (Please Print)
School District or Independent School Stamp
Signature:
Title/Position:
Date:
August 2019
Ministry of Education
Mailing Address:
Telephone: 604 660-6060
400-2025 West Broadway
Toll Free: 1 800 555-3684
Vancouver B.C. V6J 1Z6