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An applicant who wishes to claim retention rights must assert such a claim on this form* Retention rights may be claimed ONLY in one per session activity. No person may work more than 400 hours in one or a combination of per session activities with a maximum of 270 hours in a school psychologist and/or school social worker position without prior written approval of the Division of Human Resources in accordance with Chancellor s Regulation C-175. Last Name First Name Home Address Home Phone File ...

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