Previous Employment Verification Form
Download a blank fillable Previous Employment Verification Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Previous Employment Verification Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1District School Board of Pasco County
Office for Human Resources and Educator Quality
PREVIOUS EMPLOYMENT VERIFICATION FORM
Name
Date
Position
School/Department
Please complete this form and include as much information as possible. Salary credit will be credited after the appropriate form is
received and approved in the Office for Human Resources and Educator Quality retroactive to the first day of employment.
Instructional: It is the responsibility of the employee to provide necessary information for all previous full-time teaching and related
experience for which he/she wishes to receive salary credit. Please note, most substitute teaching is NOT applicable.
Non-Instructional: It is the responsibility of the employee to provide necessary information for all previous work experience for which
he/she wishes to receive salary credit.
To Be Completed by Employee
Human Resources Use
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
Total Years ________________________
School District/Organization ______________________________
Public
Private
Verification Sent
Address ______________________________________________________________
Date
Initials
Received
City/State/Zip __________________________________________________________
_______
_______
_______
_______
_______
_______
Position Held _______________________________________
Full Time
Part Time
Notes: ____________________________
Dates of Employment (MM/DD/YY): From ____/____/____ to ____/____/____
_________________________________
In order to receive credit for prior work experience, you must complete and sign a Verification of Employment form for each employer listed above. The
Office for Human Resources and Educator Quality will send the form(s) to the employer(s) indicated. Salary credit may be awarded once verification is
received and reviewed by the Office for Human Resources and Educator Quality.
I have read and understand these procedures. I certify that the above information provided is true and correct.
Employee Signature: ________________________________________________________ Date: _________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal