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TEMPORARYTEACHERELIGIBILITY(THE)APPLICATION(includesVERIFICATIONsection)
DEBATE:UPONEMPLOYMENTFORSCHOOLYEAR20132014SECTIONA:COMPLETEDBYTHESPECIALEDUCATIONPROVIDER
SchoolDistrictorBOCES/FacilitySchool/StateOperatedProgram:(nameofendorsement)SocialSecurityNumber:(maidenorpreviousname)Name:
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