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Request for Verification of Employment
Form must be fully filled out to receive a letter verifying employment from Personnel Services.
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* Indicates required question
Employee's First Name:
*
Your answer
Employee's Last Name
*
Your answer
Classification:
*
Choose
Administration
Certificated
Classified
Confidential
Work Site:
*
Choose
Ceres
Evergreen
La Colima
Laurel
Leffingwell
Mulberry
Murphy Ranch
Ocean View
Orchard Dale
Scott Ave
East Whittier
Granada
Hillview
STEP
District Office
Position Title
*
Your answer
Date of Vaccination Appt.
*
If possible, please allow Personnel up to 5 days time prior to your appt. to get the letter ready for you. We will only be supplying an electronic copy.
MM
/
DD
/
YYYY
Email Address I need Letter Sent to:
*
Your answer
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