AAFCS Employer Notification Form
This person is Certified in Family and Consumer Sciences. Complete this Employer Notification Form or use the interactive version here. Please be sure to include your name and complete mailing information (Mr./Mrs./Dr./etc.) to ensure correct preparation and mailing of the employer notification.  You may request that the notification of your certification be sent to your principal, your supervisor, your company president, the head of your school board, etc. Thank You! Complete this form and return to: AAFCS Office of Certification, 400 N. Columbus Street, Suite 202, Alexandria, VA 22314 Phone: 703-706-4600 Fax: 703-706-4663

Certified Professional Information

Name: (Last, First, Initial) __________________________________________________________

AAFCS ID Number: __________________________        Certification Exp Date: _____ / _____ / ________

Job Title: _______________________________________________________________________

Address: _______________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Employer Information

Name: _________________________________________________________________________

Job Title: _______________________________________________________________________

Organization/Company Name: ______________________________________________________

_______________________________________________________________________________

Employer Address: _______________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Signature: _______________________________________       Date: ______________________

Office of Certification
American Association of Family and Consumer Sciences, 400 N. Columbus Street, Suite 202, Alexandria, VA 22314

Please retain a copy of this form for your records.