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STAFF APPLICATION (Revised April 2017)(Valid until withdrawn or revoked)NAME PHONE (Home)(Work)ADDRESS City State ZIP BIRTHDAY×PARISH×EMAILPHONEI attended Carrillo # during of Are you a member of
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"Valid until withdrawn" means that the document remains in effect until it is formally revoked or cancelled.
Certain individuals or entities may be required to file a valid until withdrawn document as part of regulatory compliance.
To fill out a valid until withdrawn document, one must provide the necessary information and signatures as outlined in the applicable regulations.
The purpose of a valid until withdrawn document is to ensure that certain information or permissions remain in effect until formally revoked.
The specific information required on a valid until withdrawn document will depend on the regulations and purpose of the document.
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