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CDPH 502 Application for AIT Program - California Department of ... 2026

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  1. Click ‘Get Form’ to open the CDPH 502 Application in our editor.
  2. Begin by attaching a recent photo of yourself in the designated space. Ensure it is sized approximately 2" by 2".
  3. Fill in your personal information, including your name, mailing address, social security number, and contact details. Make sure all entries are accurate.
  4. Answer the eligibility questions regarding citizenship, age, and employment history. If applicable, provide additional details about previous licenses or certifications.
  5. Complete the education section by listing your educational background and any degrees obtained. Specify if you graduated from high school or possess a GED.
  6. Detail your employment history, starting with your most recent job. Include job titles, responsibilities, and duration of employment.
  7. In the preceptor information section, ensure that all required details about your preceptor are filled out accurately before signing the certification statement at the end.

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You are applying for the AIT program on the basis of (check only one):. Baccalaureate or higher degree. Ten (10) years of recent full-time work experience, as aRead more

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