Verification of Teaching Experience New 9.2

THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA

Compensation and Human Resources Information Systems (HRIS) 7720 West Oakland Park Blvd, #1014, Sunrise, FL 33351

Verification of Teaching Experience

Candidate: Per the Teacher's Collective Bargaining Unit Agreement in effect 7/1/2014, you may be eligible to receive up to a total of 13 years combined work and teaching-related experience credit. Complete this section and send a copy to each employer from whom you are requesting a verification of your related past work experience. Note that incomplete forms will not be reviewed by the District. Verification of previous employment must be received no later than four (4) months from the beginning date of employment of any school year to be effective during that school year (Teacher Contract Agreement 19-E). Candidate: complete this section and send to your former school district.

Last Name (Print)

First Name (Print)

Social Security Number

Date Completing

Choose One:

I am seeking an instructional position.

I have secured a position for

at

School Year (i.e. 2014-15)

Location Name

The above candidate has applied for an instructional position with Broward County Public Schools. Years of past experience in the instructional field will be used to compute his/her salary based on our salary schedule. We would request that you verify his/her length of service in your school system. Credit for a year of service is only given when the period of service exceeds one-half of an annual contractual period by at least one day. For this reason, we request that you show the number of days actually taught as well as the contractual number of days in the school year. Each year of service must be listed separately. (See example below.)

SCHOOL YEAR(S) MMYY MMYY

1989-1990 1990-1991

TO BE COMPLETED AND NOTARIZED BY PREVIOUS SCHOOL DISTRICT

& RETURNED TO THE ABOVE ADDRESS

NAME/ADDRESS OF SCHOOL

Broward County Public Schools (Example) Broward County Public Schools (Example)

Contractual Days in

School Year 196 196

*Actual Days taught in School

Year 173 162

Status

Full

Part

Time Time

X X

Hours per Week 37.5 37.5

Position Held

Teacher Teacher

*Days paid under contract less unpaid leave and religious holidays leave.

Name of School District

City

Authorized signature

Print Name

Title

Phone Number

STR:7/24/82; revised 8/1/2004; 5/28/2014; 9/2/2014

State

Grade Level(s) of School

NOTARY:

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