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[DOCX File]DEPARTMENT OF COMMUNITY AFFAIRS
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in my professional opinion, i certify that the information listed above is true and correct to the best of my knowledge. Type or Print Name of Professional: License Number:
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QUALIFIED INCOME TRUSTS - Georgia
NOTARY PUBLIC, State of Georgia Notary Signature Norma Evans. Print Name Norma Evans. My Commission Expires: 11/10/2012. My Commission Number: 12411-12 SCHEDULE "A" Source Amount 1. Social Security (gross) $ 1800.00 2. Pension (gross) $ 2200.00 CERTIFICATION OF DEPARTMENT OF COMMUNITY HEALTH APPROVED QUALFIED INCOME TRUST
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[DOC File]Certificate of Compliance by Non﷓Participating Manufacturer
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Provide applicant’s Georgia license number and the type of license held. Check box to certify that applicant is in full compliance with Georgia escrow requirements (O.C.G.A. §§ 10-13-1, et. seq and 10-13A-1, et. seq) and tobacco tax laws (Title 48, Chapter 11).
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[DOC File]Georgia Department of Human Services
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If my case is closed due to severe non-cooperation, I will not be able to reopen my case or reapply for services for a minimum period of six (6) months from the date my case was last closed; I agree that overpayments of the support ordered amount will be applied first to the past due amounts and then may be held by DCSS for future payments;
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[DOC File]Licensed Professional Counselors Association of GA
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Include a copy of your Current Georgia LPC. License has been held in Georgia for at least: Other conditions per GA Composite Board may apply Rule 135-5-.02. 3 Years of post LPC Licensure with a Master’s Degree . ... Please PRINT information as you would like it PUBLISHED: PLEASE PRINT .
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[DOC File]Georgia Department of Technical and Adult Education
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Aug 15, 2005 · parent/guardian: please print signature of parent/guardian: DATE: I, the witness, affirm that the signature of the parent/guardian has been written in my presence, that this person is the parent/guardian of applicant, that I am not a relative of the applicant, and that the information entered on this application is true and correct to the best ...
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Complete information on searching for jobs with the State ...
Type of License/Certificate License/Certificate Number Expiration (Mo. /Yr.) ... Describe in detail the specific duties beginning with your primary duties. If you need more space, print out the supplemental work history page and attach to the application. ... If you need the State of Georgia Application in an alternate format, please call the ...
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[DOC File]GCIC/NCIC CONSENT FORM - Kairos of Georgia
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I hereby authorize the Georgia Department of Corrections to receive any criminal or driver’s license history information, at any time, pertaining to me which may be in the files of any state or local criminal justice agency. I do solemnly state that the below listed information is true and correct to the best of my knowledge and belief.
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[DOC File]Licensed Professional Counselors Association of GA
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II) Include a copy of your Current Georgia LPC . License has been held in Georgia for at least: Other conditions per GA Composite Board may apply. See Rule 135-5-.02 www.SOS.GA.GOV. 3 Years of post LPC Licensure with a Master’s Degree . 2 Years of post LPC Licensure with an EdS Degree
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Complete information on searching for ...
Complete information on searching for jobs with the State of Georgia and an on-line application procedure may be found on the Internet at Careers.ga.gov. Using Careers.ga.gov is the preferred method of applying for these State jobs.
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Print my license georgia