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56 06 311 WTW Monthly Attendance Record 06 18 DOCX Form
Signed/Certified by Participant Instructor and/or College Staff for each activity and/or class in order to be valid. 56-06-311 02/19 SAMPLE JANE DOE XXX XXX-XXXX B123456 J. SMITH PROVIDER s Ox College CSUN Trade School MONTH/YEAR 08/2017 RETURN BY 5th WORKING DAY OF EACH MONTH Use blue or black ink 1. / / Signature Comments Date Satisfactory Who is CERTIFYING INSTRUCTOR COUNSELOR ES WORKER Participant Certification I understand that all Employment Services Activities reported may be verified by...
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