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Stuc�ent Application: No <br />If yes, please last your grade; <br />May we conCact you using your wark email or fax?: Yes <br />I have read and understand the statements an this form, and I hereby swear or affirm thati the statements on this <br />form are �rue. : Yes <br />Additiot�al �nformation: <br />Form submitted on: 1/19/2009 3:33:24 PIVY <br />Submitted from IP Address: <br />Form Address: http://v��wv��.cityofroseville.con�/forms.as�`�FID=237 <br />