Denver Public Schools FAX: 720-423-2505

900 GRANT STREET Phone: 720-423-3900

DENVER, CO 80203

EMPLOYMENT VERIFICATION REQUEST

REGARDING TEACHING EXPERIENCE

ATTENTION: Human Resources Employment Verification

I am applying for a teaching position with Denver Public Schools and request that you verify my teaching experience with your district. Please provide the information requested below as soon as possible by faxing to the number listed above.

______

Last Name First Name Social Security Number

______

Applicant Signature Date

______

Attention: DPS Human Resources Recruiter

Teaching Experience should be completed by school official. Please list in chronological order by school year and fill in as completely as possible. Return completed form to the fax number listed above.

Name of School / Start Date
MM/DD/YY / End Date MM/DD/YY / Position: Grade Level & Subject (if applicable) *1 / Type of School
*2 / Accredited?
Yes / No
*3 / # Of Days in School Year
*4 / Teaching License Held?
Yes/No / FTE %
*5

*reference

1. Teaching grade level: ECE; K-6, 7- 12, and higher education.

2. Type of School: A public school, private school, charter school, overseas school, or regionally accredited institute of higher education.

3. Accredited: A school will be considered accredited only if officially accredited by a state Department of Education, a territorial accrediting association, one of the U.S. regional accrediting associations (i.e., Northwest), schools operated by the U.S. and, in foreign countries when the school has been accredited by a recognized agency of the U.S.

4. # of School Days: Please list the number of school days in your district. DPS counts one full year of experience for 119 school days or more.

5. FTE %: FTE % is the percentage of full time employment. FTE is defined as the full time equivalent (ratio of number of hours working during a period of time).

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT ACCORDING TO OUR OFFICIAL RECORDS

______

Signature of Certifying Officer Printed Name Title

______

Phone Number Email Address Date

______

School District Mailing Address City State Zip

Salary changes will not be granted for verification forms received later than 30 days after orientation date. Responsibility for verification of outside experience shall rest with the individual applicant for employment.