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CONNECTICUT STATE DEPARTMENT OF EDUCATION Bureau of Educator Standards and Certification C. G.S. 10-145 P. O. Box 150471 Room 243 Hartford CT 06115-0471 Regs. 10-145d-420 www. ct. gov/sde ED 175 REV. 1/12 APPLICATION FOR EXTENSION OF SUBSTITUTE TEACHER AUTHORIZATION BEYOND THE 40-DAY LIMIT PART I PERSONAL INFORMATION Print all information in blue ink and in uppercase letters. CONNECTICUT STATE DEPARTMENT OF...
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