Use one line for each academic year or change in status. Clearly identify unpaid leave of absence periods. Do not record tutoring, practice work, student teaching, or summer school positions. Record substitute work in substitute column only. # of Paid # of Working # of Paid # of Paid Dates of Service Working Days Days Paid Per Day This Substitute Institution From Mo/Day/Yr to Position in This Period Period Hours This Mo/Day/Yr Full-Time Period Year for Position Example: Pine School 9/10/01 to 6/29/02 180 172 6.0 Paraprofessional Printed Name of Superintendent or Designee: Signature of Superintendent or Designee: Date: Title: E-Mail Address:
Use one line for each academic year or change in status. Clearly identify unpaid leave of absence periods. Do not record tutoring, practice work, student teaching, or summer school positions. Record substitute work in substitute column only. Institution Dates of Service From Mo/Day/Yr to Mo/Day/Yr # of Paid Working Days in Full-Time Year for Position # of Working Days Paid This Period # of Paid Per Day This Period # of Paid Substitute Hours This Period Position Example: Pine School 9/10/01 to 6/29/02 180 172 6.0 Paraprofessional Printed Name of Superintendent or Designee: Signature of Superintendent or Designee: Date: Title: E-Mail Address:
Verification_of_Experience_-_Classified.docx