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Get Prairie View A&m University Alternative Teacher Certification Application

IFICATION PROGRAM P. O. Box 519, MS 2800 Prairie View, TX 77446­2800 Phone: 936­261­3500/FAX: 936­261­3529 Soc. Sec. # :_______________________ Email:_________________ Last Name________________________ Birthdate______________ First Name____________________________ Middle_______________________ Gender: ___Male Ethnic Origin: ___Amer Ind/Alaskan ___Asian/Pacific ___African ___American Black ___Female ___European ___Hispanic ___Other Are you a veteran of any U.S. Forces? ___Yes ___No A.

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