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LOS ANGELES COMMUNITY COLLEGES HUMAN RESOURCES 770 WILSHIRE BOULEVARD LOS ANGELES CA 90017 INFORMATION CERTIFICATION This form is required for employment. Los Angeles Community College District Board of Trustees approval. I certify or declare under penalty of perjury that the foregoing is true and correct. 1. PERSONAL INFORMATION Title Last Name First Name Middle Name Suffix Social Security No. Drivers License No. State Expires MM/DD/YYYY Date of Birth MM/DD/YYYY 2. Athletic Coach...
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