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BETTENDORF HIGH SCHOOL INTERNSHIP TRAINING AGREEMENT Student Name DOB Age Counselor Address Phone Email Training Site Supervisor Name Return to Sarah Roeder Internship Coordinator Bettendorf High School 3333 18th Street Bettendorf IA 52722 sroeder bettendorf.k12. Student signature supervisor signature parent/guardian signature coordinator signature Bettendorf Program Sarah Roeder Internship Coordinator 3333 18th Street Bettendorf IA 52722 563 332-7001 ext. Notify Ms. Roeder school attendance...
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