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Get Institutionalorganizational Application For An Educational Staff Associate Certificate Form

SU OF PUBLI C T N W AS HIN GTO N INSTITUTIONAL/ORGANIZATIONAL APPLICATION FOR AN EDUCATIONAL STAFF ASSOCIATE CERTIFICATE Please complete the following questions and sign the affidavit. Type of ESA certificate requested: Role requested: Residency Residency Renewal Professional Continuing (if holds valid Initial) School Counselor School Psychologist Certificate requested: Residency Renewal $10 + $33 (OSPI) $43 Residency $35 + $33 (OSPI) $68 Professional $25 + $33 (OSPI) $58 Cont.

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