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Ional Certification Chcck ae: U.S. Citizen U.S. Permanent Resident Initial Evaluation Renewal DATE: NAIViE: Last First Middle ADI RESS: Social Security # Phone #: (H) E-mail (off island) (W) CEETIFICATION SOUGHT: Headstart Elementary K-5 Early Childhood Pre-K-2 School Librarian K-12 Maui 6-12 Home Economics 6-12 Guidance and Counseling K-12 Sci.mce 6-12 Social Studies 6-12 School Health Counselor (RN.) Language Arts 6-12 Physical Education 6-12 Cham.

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