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Get CT ED 170 2018

Tudent teaching, substitute or paraprofessional experience. Attach an additional sheet of paper, if needed. NAME OF SCHOOL LOCATION (City, State) JOB TITLE SUBJECT/FIELD GRADE(S) PART V: DO YOU HOLD/HAVE YOU HELD AN OUT-OF-STATE CERTIFICATE? DATES EMPLOYED FROM (M/Y) TO (M/Y) YES NO (specify state and type of certificate) (Attach a copy of both sides of out-of-state certificates, covering any of the experiences listed above that are within the last 10 years.) PART VII: APP.

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