Sample Verification of Employment as a Volunteer
STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY
Board of Behavioral Sciences
1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830 bbs.
Gavin Newsom, Governor
SAMPLE VERIFICATION OF EMPLOYMENT AS A VOLUNTEER
Required when the Associate is a volunteer
Date: Associate name: Employer name:
This letter serves as verification that (Associate's name) was employed by (Employer's name) as a volunteer from (Start date) to (End date).
________________________________________________________________________________ Employer's Authorized Representative Printed Name and Title
____________________________________________ Employer's Authorized Representative Signature
__________ Date
NOTE:
This is a SAMPLE letter. The actual letter must be written on the employer's letterhead. The ASW is required to submit this letter with the application for licensure.
Revised 01/2019
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