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APPENDIX VIII CLINICAL INTERNSHIP AGENCY OPENING FORM Official Name of Agency: ___ Department (if applicable):___ Address: ___ City, State, Zip: ___ Phone #:___ Name and Title of Agency Internship
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Appendix C documents are used to report specific financial information related to a project or program.
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Entities or individuals who are involved in the project or program and are required to report financial information.
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Specific financial information related to the project or program such as expenses, revenue, and funding sources.
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