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F-4 Program Admission Verification Form

Friday, September 9, 2016

The purpose of this form is to verify the program admission and hiring of the student/applicant named below.  ‘Part I’ must be completed by the certifying official of the Education Program Provider (EPP) institution where the student is admitted. Once completed, this form should be given to the student/applicant so that they can have ‘Part II’ of this form completed by the hiring official of the D.C. local education agency (LEA) where he/she has been hired.

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