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Get PI-1613 2010-2024

Le at dpi.wi.gov/tepdl/applications.html To the Applicant: Complete Section I (print or type) and then send to your employer (District Administrator or Personnel Director) for completion of Sections II and III. To the Employer: Please complete both Sections II and III. In Section II list each separate position/assignment held by the applicant within your district on an individual line. Mail the completed form to: DPI Educator Licensing, P.O. Box 7841, Madison, WI 53707-7841. I. APPLICANT INF.

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