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RETAIN A COPY OF THIS DOCUMENT IN FACULTY MEMBER’S PERSONNEL FILE.
Primary responsibilities or courses taught:
Educational Background: (Institutions shall maintain evidence of the credentials that qualify faculty members)
Certifications/Licenses: (Attach a copy of faculty member's credentials)
Have you been employed by, involved with, or in any way related with, other educational institutions in Florida or any other state within the last ten (10) years?
Before me, a Notary Public, personally known to me Yes, or documentation provided being duly sworn affirms that he/she will represent this institution in good faith and in compliance with the laws of the State of Florida, and authorizes the Commission to receive criminal justice information, as defined in Section 943.045, Florida Statutes, regardless of the jurisdiction in which such information originated, pursuant to Section 1005.22(1)(H), Florida Statutes, and affirms that the statements contained herein are true and correct.