School Superintendent Verification of Employment
(For T&I Provisional I applicants only)
As Superintendent or Designee authorized to verify employment, I request the issue or renewal of a T&I Provisional Certificate for the following:
Teacher's Name (Last, First, MI):
*
Last 4 Digits of Teacher's SSN (####):
*
Trade Taught:
*
School/Campus:
*
Administrator's Name:
*
Administrator's Title:
*
Administrator's PID (#####):
*
Rev 1/26/2010 8:23
*Required Fields
Comments: