PDF-Your first name and middle initial

Last nameCurrent home address number and streetApt City state and ZIP codeReason for Claim Check the Box below that appliesA separate 10a is required If you have multiple W2 forms or for each munici. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 Initial Consonant Deletion 574115745557456574655745857449574475744857460573765751357376573945739257392574015737657411574415745857455574 Jr etc Current Address STREET ADDRESS APT CITY PROVINCE POSTAL CODE PREVIOUS ADDRESSES within last 3 years STREET ADDRESS APT CITY PROVINCE POSTAL CODE STREET ADDRESS APT CITY PROVINCE POSTAL CODE Date of Birth Social Insurance Number MONTHDAYYEAR O The most helpful reference letter will include 1 your relationship to the app licant 2 the length of time you have known the applicant and 3 your evaluation of the applicants ability to adapt to other cultures and to work effectively with others Inf S citizen Yes No If you answered Yes to the question above please respond to the following two questions If your answer was No skip to the following section Are you HispanicLatino Yes No Indicate your race by choosing American Indian or Alaska Native Last name First name Middle initial Curre nt Address Permanent Address if different from the current address Message Phone Alternate Phone mail Social Security Number New Application Reapplication For training to begin Fall Semester indic ate year A CoachAthletic Director Signature Date 14438 814 201415 ENTRY DEADLINE POSTMARKED BY MARCH 27 2015 DEXTERUSBC High School AllAmerican Team COACHESATHLETIC DIRECTORS NOMINATION FORM DEXTERUSBC HIGH SCHOOL ALLAMERICAN INFORMATION The United Stat LAST NAME MIDDLE NAME FIRST NAME MALE ELECTION BIRTH OTHERS R.A. 9225 (DUAL CITIZENSHIP LAW) NATURALIZATION HAVE YOU EVER BEEN ISSUED A PHILIPPINE PASSPORT NO IF YES, LATEST PASSPORT NUMBER DATE OF IS 1 1 Family name 2 First name 3 Middle name 4 Date of birth 5 Current postal address Postcode 6 Telephone 7 Mobile 8 Email 9 Reference number/ card number (if known) Part B – Authorised person's Also known as the Medieval Period. Occurred from 400—1400 . Three classes of people. Nobility. Clergy. Peasants. Nobility. The nobility were rich landowners.. These are the people we hear about in legends of knights in shining armor. . Art during the Middle Ages saw many changes and the emergence of the early Renaissance period. Byzantine Art was the name given to the style of art used in very early Middle Ages Art. This period was also known as the Dark Ages ( 410 AD - 1066 AD ). The Dark Ages were followed by the Medieval era of the Middle Ages (1066 - 1485). The MIDDLE Layer Lesson 4 GOAL: The Middle Layer The goal of this stage is to solve the Middle Layer while keeping the WHITE face intact. ( t he WHITE cross and WHITE corners ) For this lesson, Fill in all the pertinent information. Send this form to your Accounting or Benets Office or the person handling benets for your department.BENEFITS ELIGIBILITY LEVEL INDICATOR (BELI) ANDSTA NoHEALTH AND SOCIAL INFORMATION1 How is your physical health at present please circle Poor Unsatisfactory Satisfactory Good Very good2 Please list any persiste