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Date Year 5 Spelling List x2013 wk 3 This weekx2019s focus words are xF0B7 c uriosity xF0B7 d efinite xF0B7 d esperate Spelling Practise 1 Practise 2 Practi. No SI No SI No 1 ADILABAD 1 NELLORE 1 WEST GODAVARI 2 ANANTAPUR 2 EAST GODAVARI 2 KRISHNA 3 CHITTOOR 3 SRIKAKULAM 3 VISAKHAPAATNAM 4 CUDDAPAH 4 KURNOOL 5 KARIMNAGAR 5 PRAKASAM 6 KHAMMAM 6 GUNTUR 7 MAHBUBNAGAR 8 MEDAK 9 NALGONDA 10 NIZAMABAD 11 RANGAR REPAIR FORM Company Name If Applicable First Name Last Name Address street address preferred City City State Zip Code Country Telephone Email Address Items being repaired Item Item Descripti e Master 1 Master A Utility Security Master etc You may refer to the lock report provided to your department by Lock Key Services for the correct key designation Building PLEASE DO NOT WRITE IN THIS SPACE Department Authorization Signature Departm Network ID tudent Loca l Address Street AptBox City State MI End Sponsor will pay for the following check all that apply Full Tuition Health Services Partial Tuition indicate percentage or amount Medical Insurance Mandatory Fees Yes if yes state amo a Candidates full Name CAPITAL LETTERS as in Matric certificate Leave a box blank between two parts of name b Fathers Name Leave a box blank between two parts of name Write Course Ser No as mentioned i Do you own rent your house rent an apartment Applicants Home Environment Information Do you presently have a dog or have you owned a dog before Name Breed MF Age Are there cats in your home no yes how many Are all of your pets spayedneutered If not Printed Name of Enrollment Officer Signature of Enrollment Officer brPage 2br 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 Last Name First Name Team Name Coach Name Coach Phone Anderson B 1003 8016749877 Bejarano M 1005 Lorenzo-Denise Bejarano 8017063601 Brinkerhoff P 1001 Chris McCann 8018348250 Brown T 1002 Ron Childers _______________________________________ VODKA__ ______________________________ Belvedere & Flavors $225 Ciroc & Flavors $225 Ketel One & Flavors $225 Grey Goose $225 Absolut $200 ____ name="example.Team"las;&#xs-60;table="teams" name="id"column="team_id"type="long"&#xid-6;unsaved-value="null" &#xgene;&#xrato;&#xr-60;class="hilo"/ name="name"column="team_name"type="string" le Signature:_________________________Date:_______________________________________ Witness Name:_____________________Address:____________________________________ Home Tel.:________________________ -DATED TIME SHEET - SUMMER 2015 A.M. P.M. Daily Total Hours THE UNIVERSITY OF CONNECTICUT IN OUT IN OUT IN OUT IN OUT STUDENT PAYROLL-TIME SHEET FRI 05-29-15 06-01-15