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Failure to do so may result in an inability to communicate with you. City State Country Zip Code 1st Telephone 2nd Telephone E-Mail Address LICENSURE INFORMATION Are you applying for Please check only one category. Academic license PACE Program of Alternative Certification for Educators Year Student Teaching - FBI background check clearance Scheduled for student teaching Fall Spring ABCTE American Board for Certification of Teaching Excellence TFA Teach for America Are you enrolled in or have...

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