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Trish Lyons Coordinator of Licensure Programs Regent University School of Education 1000 Regent University Drive ADM 266 Virginia Beach VA 23464 Ph. 757. 352. 4090 Fax 757. 352. 4147 tlyons regent. edu 1-783 Rev. 5-5-2011 OMB-1110-0052 APPLICANT INFORMATION FORM PRIVACY ACT STATEMENT The FBI s acquisition retention and sharing of information submitted on this form is generally authorized under 28 USC 534 and 28 CFR 16. Under the Paperwork Reducti...
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