Albany State University s1

Albany State University

College of Education

Employment Verification Form

Candidates who are employed with an accredited school system in the state of Georgia may present this form as proof of employment and as verification that they have completed and cleared a criminal background check and have permission from the employer to complete required field experiences in the named school.

Name RAM ID Number:

Address

Phone Number: Email:

This is to certify that (Name of employee/ASU Candidate) is employed as (Position). He/She has completed and cleared a criminal background check and is approved to complete his/her Field Experience

at (Name of School Employed in).

Name of Employing School System:

Address:

Phone Number: Fax Number:

_______________________________________________________ ______________________________

Name of the institution official Title

__________________________________________________________ ______________________________

Signature of the institution official Date

Albany State University · Albany, Georgia 31705 · Telephone 229-430-4715

University System of Georgia · An Equal Opportunity / Affirmative Action Institution – m/f/v/h