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ITWI abbreviation stands for Internationally Trained Workers Initiative

ITWI abbreviation stands for Internationally Trained Workers Initiative 2026

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The document is a request form from the Wisconsin Department of Safety and Professional Services for obtaining a temporary license to practice as a perfusionist. It outlines the requirements for applicants, including graduation from an approved perfusion school and taking the ABCP certification exams. The form also includes an affidavit section for a supervising licensed perfusionist, detailing the conditions under which the temporary license is granted and its renewal process.

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Click ‘Get Form’ to open the ITWI document in the editor.
Begin by entering your name in the 'NAME OF APPLICANT' section. Ensure you print your last, first, and middle names clearly.
Indicate your educational background by selecting whether you are a graduate of a medical board-approved perfusion school and if you have applied for or taken the ABCP certification exams.
In the 'AFFIDAVIT OF SUPERVISING LICENSED PERFUSIONIST' section, provide the name of your supervising licensed perfusionist and the effective date for your temporary license.
The supervisor must sign and print their name, along with their Wisconsin Perfusionist License number, street address, city, state, and zip code.
Finally, ensure that the date is filled out correctly before submitting your completed form.

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