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Get Nv Ad-05 2011-2024

ATE CERTIFICATE APPLICATION Refer to NAC 289.240 for certificate requirements Last Name POST ID# Residence Address (not agency address) Street Agency Name First Name Middle City State Zip Hire Date Agency ID# COLLEGE CREDIT DOCUMENTATION (Copies of official transcripts required) Subject Term/Yr College Credits 3 Credits English Composition 3 Credits Other Please itemize and include support documents of the training to include dates, college terms/quarters and hours in each area below.

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