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I. InformationTodays date: Name: CID: Phone #: () Email: Student status at the time of desired employment: Undergraduate Graduate Expected graduation date: If you are a graduate student, where did
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Today's date is November 12, 2021.
Anyone who has relevant information to report.
You can fill out the information by following the instructions provided by the filing entity.
The purpose is to ensure accurate and timely reporting of information.
Any relevant information required by the filing entity.
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