Get the free 065c7e86.tif. 1. Health, Education, and Welfare - Welfare and Poverty 2. Health, Edu...

Form OMB No 1545-0047 990 Return of Organization Exempt From Income Tax 2009 Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

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5. If applicable, provide information about any previous work experience or training related to health education.
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8. Sign and date the form as required.
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