Due by Thursday, December 31st

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* 1. First Name (indicated on your Credential).

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* 2. Last Name (indicated on your Credential).

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* 3. LAUSD Email Address.

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* 4. Phone Number.

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* 5. Employee Number.

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* 6. School Site.

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* 7. Are you able to begin the coursework in January  2020?

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* 8. Please indicate California Teaching Credentials you currently hold.

  Preliminary. Clear.
Multiple Subject.
Single Subject.
Education Specialist.

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* 9. Which CSET have you passed?

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* 10. What is your current teaching assignment?

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* 11. Confirmation.

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