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HOUSTON INDEPENDENT SCHOOL DISTRICT Human Resources Attn Service Records 4400 West 18th Street Houston Texas 77092 Phone 713-556-7325 Fax 713-556-7384 COLLEGE VERIFICATION FORM Name SSN We find it necessary to verify the employment of the above-named person during the academic year s. This information is needed to determine whether the experience may be counted for salary purposes under our current teacher-salary law. To assist us in our evaluation we request that the following questions be answered relative to the person s employment. 1. What were the beginning and ending dates of employment during each academic year Please show each academic year on a separate line. FROM month - day - year 2. Was this person employed either at the faculty-status level or as an administrator during each academic year not a graduate assistant an assistant instructor or an instructor on a fellowship 3. Did the schedule of work during each academic year constitute that required of other similar employees 4. Was the salary paid during each academic year equal to that of other similar faculty or administrative Personnel Signature of school official Title Institution. This information is needed to determine whether the experience may be counted for salary purposes under our current teacher-salary law. To assist us in our evaluation we request that the following questions be answered relative to the person s employment. To assist us in our evaluation we request that the following questions be answered relative to the person s employment. 1. What were the beginning and ending dates of employment during each academic year Please show each academic year on a separate line. 1. What were the beginning and ending dates of employment during each academic year Please show each academic year on a separate line. FROM month - day - year 2. Was this person employed either at the faculty-status level or as an administrator during each academic year not a graduate assistant an assistant instructor or an instructor on a fellowship 3. FROM month - day - year 2. Was this person employed either at the faculty-status level or as an administrator during each academic year not a graduate assistant an assistant instructor or an instructor on a fellowship 3. Did the schedule of work during each academic year constitute that required of other similar employees 4. Did the schedule of work during each academic year constitute that required of other similar employees 4. Was the salary paid during each academic year equal to that of other similar faculty or administrative Personnel Signature of school official Title Institution. This information is needed to determine whether the experience may be counted for salary purposes under our current teacher-salary law. To assist us in our evaluation we request that the following questions be answered relative to the person s employment. 1. What were the beginning and ending dates of employment during each academic year Please show each academic year on a separate line.

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