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College or University Where Work Is To Be Taken Inclusive Dates of Enrollment From // To Title of Course BUSD School or Dept. Name School or Department Date Current District Teaching Assignment Grade/Subject Major Minor E-mail Address Contact Phone Number Approved Disapproved Date Assistant Superintendent Human Resources Reason s for Disapproval Employee Copy Human Resources Revised 4-07. Sponsoring Course if applicable Catalogue Number Credits to be Earned Semester Units Quarter Please...
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