Get Experience Verification Form Concordia University

Masters of Arts in Education Off-Campus Programs Verification of Experience Form For students in the MAED for Educational Administration with Preliminary Administrative Services Credential Program only. Instructions This form is to be completed by your employing school district and returned to the Graduate Admissions Office at Concordia University. Masters of Arts in Education Off-Campus Programs Verification of Experience Form For students in the MAED for Educational Administration with Preliminary Administrative Services Credential Program only. Instructions This form is to be completed by your employing school district and returned to the Graduate Admissions Office at Concordia University. Please print or type This is to certify that Name served on a full-time basis in District City State from to Month / Year Position grade of service Area or subject Dates of prior teaching experience From to School s Does the above candidate meet the one year teaching or counseling requirement for admission into the Preliminary Administrative Services Credential/Master of Arts Education in Educational Administration program Has he/she completed one year of full-time successful teaching or counseling after filing for a CA Credential and completing a teacher preparation program or pupil personnel services program* q Yes q No Has completed three years of full-time successful teaching or counseling after having completed a teacher preparation program or Pupil Personnel services program* District Office Personnel Signature Date Name please print Title Please mail or fax application to Attn MA. Ed Program School of Education By Mail Concordia University 1530 Concordia West Irvine CA 92612 By Fax 949 214-3362 12/12. Instructions This form is to be completed by your employing school district and returned to the Graduate Admissions Office at Concordia University. Please print or type This is to certify that Name served on a full-time basis in District City State from to Month / Year Position grade of service Area or subject Dates of prior teaching experience From to School s Does the above candidate meet the one year teaching or counseling requirement for admission into the Preliminary Administrative Services Credential/Master of Arts Education in Educational Administration program Has he/she completed one year of full-time successful teaching or counseling after filing for a CA Credential and completing a teacher preparation program or pupil personnel services program* q Yes q No Has completed three years of full-time successful teaching or counseling after having completed a teacher preparation program or Pupil Personnel services program* District Office Personnel Signature Date Name please print Title Please mail or fax application to Attn MA. Please print or type This is to certify that Name served on a full-time basis in District City State from to Month / Year Position grade of service Area or subject Dates of prior teaching experience From to School s Does the above candidate meet the one year teaching or counseling requirement for admission into the Preliminary Administrative Services Credential/Master of Arts Education in Educational Administration program Has he/she completed one year of full-time successful teaching or counseling after filing for a CA Credential and completing a teacher preparation program or pupil personnel services program* q Yes q No Has completed three years of full-time successful teaching or counseling after having completed a teacher preparation program or Pupil Personnel services program* District Office Personnel Signature Date Name please print Title Please mail or fax application to Attn MA. Ed Program School of Education By Mail Concordia University 1530 Concordia West Irvine CA 92612 By Fax 949 214-3362 12/12.