Sample Verification of Employment as a Volunteer

Revised 01/2019 STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCYG avin Newsom, Governor Board of Behavioral Sciences 1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830 Sample Verification OF Employment AS A Volunteer Required when the Associate is a Volunteer date : Associate name: Employer name: This letter serves as Verification that (Associate s name) was employed by (Employer s name) as a Volunteer from (Start date ) to (End date ). _____ Employer s Authorized Representative Printed Name and Title _____ _____ Employer s Authorized Representative Signature date NOTE: This is a Sample letter. The actual letter must be written on the employer s letterhead. The APCC is required to submit this letter with the application for licensure.

Sample Verification of Employment as a Volunteer Required when the Associate is a volunteer employee . Date: Associate’s name: Employer name: This letter serves as verification that Associate Professional Clinical Counselor, (Associate’s name),

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Transcription of Sample Verification of Employment as a Volunteer

1 Revised 01/2019 STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCYG avin Newsom, Governor Board of Behavioral Sciences 1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830 Sample Verification OF Employment AS A Volunteer Required when the Associate is a Volunteer date : Associate name: Employer name: This letter serves as Verification that (Associate s name) was employed by (Employer s name) as a Volunteer from (Start date ) to (End date ). _____ Employer s Authorized Representative Printed Name and Title _____ _____ Employer s Authorized Representative Signature date NOTE: This is a Sample letter. The actual letter must be written on the employer s letterhead. The APCC is required to submit this letter with the application for licensure.