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i | ee * repanctine Ere e University ‘State Un! on Honorio veut a icarion FOR SCHOOL OF Lal pve erence ron: STUDENT : rinereqaene a gra requ at of Te ots oe Oke 7 ae “sano en errand an weed BY =a ‘on the DHVSU ONUINE race ma il wo ah ea par ON —r ‘AN test Nome coats Nae: ‘We would Because we shall aspossible. Name Postion/Desienation = Name of Ofce| sess Mobile number Please check /) the = telgenee [> ptiude for the teaching profession industry Ss initve “= _ Ability to workin group | 1 1 2 tion tae youtno he appt ber fear armors) DUS. (6, former professor, employer, oF supers0") 2. whatis/was your position in elation tothe applicant tmnmediate Supersor/Superior “Former Professor others, pease spect svongest tras ofthe applicant? Ability to blend with others (in work related activities) eras, og atten pelens_a} hal a ine o_gerforminay asks ochadioack - “iS BB on_o sin)e task al_a 5. woud you recommend the appar for amision nthe ts Doctr?_ Yes No 2 “een please return the completed form to the DIRECTOR OF ADMISSIONS, DON HONORIO VENTURA STATE UNIVERSITY, Villa De Bacolor, Pampa Siensure : one _ GDA )yas

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