Fillable CAR Es Act Funded Request Form (Los Medanos College)

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CAR Es Act Funded Request Form (Los Medanos College)

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Country of origin: US
File type: PDF

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COURSE NAME:
SECTION NUMBER(S):
RECOMMENDED INSTRUCTOR(S):
ESTIMATED NUMBER OF HOURS:
Signature:
Printed Name of Dean:
Signature of Dean:
This form is to be completed when reqesting approval for Supplemental Instruction assistance.
All sections must be completed prior to submitting for review.
CARES Funded Supplemental Instruction
2020 - 2021
NAME:
Request Form
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CAR Es Act Funded Request Form (Los Medanos College)

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Completed 2 February 2021

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