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Check only that apply MSW F/T P/T School of Social Work Field Program BSW Application for Field Practicum (Please fill out completely) Title IV E Student ID First Name Middle Name Last Name Date of
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Start by writing the date on the 'Date' line of the check
02
Write the name of the recipient or payee on the 'Pay to the Order of' line
03
Fill in the amount of money you want to pay in both numeral and written form
04
Sign your name on the 'Signature' line at the bottom right corner of the check
05
If necessary, write a memo or note on the 'Memo' line for your reference
06
Make sure to review the completed check for any errors before issuing it

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Check only that apply is a form where an individual selects the appropriate options that apply to them.
Those individuals who need to report specific information based on their circumstances are required to file check only that apply.
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