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This form needs to legible scanned and submitted with application documents via email by the application deadline. Instructions for Clinical Facility Please provide information requested Students who are applying to Lane s PTA program are required to verify observation/work experience in order to meet criteria for application. Clinical Facility Contact Information Printed Name Title Role with the Student Please check the box if this work experience was in a paid position for six months or...
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What is form 4 - verification?
Form 4 - verification is a document used to confirm the accuracy of information provided in a previous form.
Who is required to file form 4 - verification?
Individuals or entities who have previously submitted a form requiring verification are required to file form 4 - verification.
How to fill out form 4 - verification?
Form 4 - verification must be filled out by providing accurate information and signing to confirm its accuracy.
What is the purpose of form 4 - verification?
The purpose of form 4 - verification is to ensure the information previously provided is correct and up to date.
What information must be reported on form 4 - verification?
Form 4 - verification typically requires personal or entity information and a confirmation of accuracy.
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