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O. Box 150471 Room 243 Hartford, CT 06115-0471 www.ct.gov/sde STATEMENT OF PREPARING HIGHER EDUCATION INSTITUTION This institutional recommendation must be signed by the administrative official authorized to make such a recommendation, the dean of education or certification officer, and must include the embossed or colored seal of the college or university. PRINT all information in blue ink and in uppercase letters. LAST NAME FIRST NAME SOCIAL SECURITY NUMBER.

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