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Get Temporary Provisional Certification 2019-2024

01 Telephone (502) 564-4606 (888) 598-7667 www.epsb.ky.gov APPLICATION FOR TEMPORARY PROVISIONAL CERTIFICATION SECTION I. Record of Personal Information and Preparation to be completed BY APPLICANT (type or print) For EPSB Use ONLY A. PERSONAL INFORMATION SSN: Date of Birth: Last Name: Rec. N/A Official BA Transcript Transcript showing 6 new hours Verification of Employment in area Recommendation Page showing enrollment Sh.

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