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(Job Trainee #____)
AFFIDAVIT
By participating in the MASH Program as a
Contractor, I understand and agree to the MASH Program rules and the
MASH Contractor guidelines referenced and described herein about the job training requirement.
I certify that I am authorized to sign this Affidavit. I also declare under the penalty of perjury, under the laws of the
State of California, that all of the information in this Affidavit is true and correct to the best of my knowledge.
Name of Contractor Representative: _____________________________ Title:________________________
Signature (Contractor):_________________________________________ Date:________________________
By participating in the MASH Program as a Job Trainee, I understand and agree to the MASH Program rules and
the MASH guidelines referenced and described herein about the job training requirement.
I certify that I am authorized to sign this Affidavit. I also declare under the penalty of perjury, under the laws of the
State of California, that all of the information in this Affidavit as it applies to Job Trainee # 1 is true and correct to the
best of my knowledge.
Name of Job Trainee _____________________________________ Title:________________________
Signature (Job Trainee):______________________________________ Date:________________________
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