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____________________________________ ____________________________________
Student Verification Form
Employee: _____________________________________________________________________
Student: ______________________________________________________________________
Class:_________________________________________________________________________
Start time: ________________________________________________ End time: _________
Teammate:________________________________________________ Service: ___________
Current Period: From:________________ To:__________________
I certify that this Communication Facilitator has performed satisfactory work for the hours
re
presented.
Communication Facilitator Signature Student Signature
SOWELA Technical Community College does not discriminate on the basis of race, color, national origin, gender, disability, or age in its
programs and activities. The following person has been designated to handle inquiries regarding non-discrimination policies: Compliance Officer,
3820 Sen J Bennett Johnston Ave, Lake Charles, LA 70615, ph: 337-421-6565 or 800-256-0483, Email complianceofficer@sowela.edu.
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