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CONTRA COSTA AB212 SUPERVISOR AND DIRECTOR PROFESSIONAL LEARNING COMMUNITY PLC 2016-2017 SECTION 1 Applicant Information Please complete all fields to ensure eligibility Last Name First Name Middle Initial Other Names Home Address Apt. I am aware that I must attend all activities and complete all assignments to be eligible for the stipend in June 2016. Intentional incorrect information could lead to penalties including but not limited to exclusion from the Professional Development Program. I...
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