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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