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Middle Country Central School District COMMUNITY SERVICE VERIFICATION FORM School year: Date: Graduation Year: Student ID # Current Grade: This form verifies that, a student at the Middle Country
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This form verifies that the information reported is accurate and complete.
Employers are required to file this form to verify employee information.
This form should be filled out carefully and accurately to ensure verification of information.
The purpose of this form is to verify employment and income information.
Employment and income information must be reported on this form for verification.
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