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Department of Workforce Services State of Utah CcaSEY R. CAMERON (GARY R HERBERT Depa Decor Governor rec paras renee s.cox Deputy Director ewenant Governor THE UTAH INTERPRETER PROGRAM Student Permit Authorization Courtney Jacobs Has been approved to act as an interpreter using this temporary non-certified student permit for use only with Salt Lake Community College restricted to the guidelines outlined within the Utah Interpreter Program Policies and Procedure Manual ‘This Permit is valid through December 7, 2020 through June 30, 2021 1, Courtney Jacobs hereby agree to this Student Permit contract. I understand I may not interpret alone and must work with an interpreter certified at an advanced level. I will only perform these duties for the approved interpreter training program and within the limited defined time period. I understand that failure to comply with the Permit requirements will result in revocation of this Per pf "rogram Director, Uiah Interpreter Program (2/3/B20 Date aah state Oe or Rebates Division ot Serves tothe Dea an lar of Hening WORKFORCE 5709 South 1500 Wes, Telos Uh 8413 + Teephone 806575200, SERVICES Heay Utah 71 «Span Rely Ua 1-86 463162 Page FFHASILITATION a 01315-6810 worth pr + Ege! Opprnty EmplyePrgrans —+ 4 proud partner of the americanjobcenter'network

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