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Click ‘Get Form’ to open the hm188 form in the editor.
Begin by entering your 'Print Name' at the top of the form, followed by your 'Current Work Address' and both work and home phone numbers.
Fill in your 'Cell Phone' and 'Email' address to ensure you can be contacted easily.
List four one-hour entries of CSTI Curriculum taught this year in the designated lines. Ensure each entry includes the instructor name, class type, and CSTI block title.
Sign your name at the bottom of the box where indicated to certify that you have taught the listed blocks.
For verification, provide details for either a Department Head or Agency Representative, including their name, signature, address, and phone number.
Lastly, include signatures and printed names of three students who attended your class along with their contact phone numbers.

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2011	4.8 Satisfied (65 Votes)

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