2447 Cap Exam Application Form

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APPENDIX A: CAP AUDIT DOCUMENTATION
This appendix should be completed only if you are notified by ISA that your CAP application is being audited. Please review the audit
requirements so you are aware of what documentation you will need to submit in the event that your application is audited.
All CAP applications are subject to audit. A random selection of CAP applications will be chosen for audit. If your application is audited,
you will be required to verify your employment history, education, and position of responsible charge as it relates to your application eligi-
bility. Applicants who are audited must complete this form and return to ISA within sixty (60) days of audit notification. Failure to do so will
result in revocation of your application and certification.
A. VERIFICATION OF EMPLOYMENT
A Verification of Employment Form should be completed by your current and former supervisors for each period of employment
that you submitted on your CAP application. Duplicate this form as necessary to document your work experience. This must include the
job activities the candidate was involved in. Provide original, signed forms as faxed, photocopied, or electronic signatures do
not qualify. If your verification is completed by a previous co-worker, the signature must be notarized below.
If you are self-employed, complete the Verification of Employment to document your professional work experience with customers.
Provide full contact information for at least three of your customers, spanning the eligibility period, who can verify your work in automa-
tion.
__________________________________________________________________________________________________ was employed as a(n)
name of candidate
______________________________________________________________________________________________________________________
title of candidate while employed
in _____________________________________________________ at _____________________________________________________________
name of company/organization
location
from ____________________
____________________to ____________________
____________________.
month
year
month
year
The candidate was directly involved in the following activities during the above period of employment:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
I, _________________________________________________________________________________________________________, attest to this
name of supervisor/co-worker
as the _________________________________________________________________________________________________________________
title of supervisor/co-worker
on this the ___________ day of _____________________________.
date
month year
_________________________________________________
____________________________________
_____________________________
signature of supervisor/co-worker
e-mail
telephone
Return this form to:
ISA
CAP Program Audit
PO Box 12277
Research Triangle Park, NC 27709 USA
Contact ISA at (919) 549-8411 if you have questions regarding employment verification.
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