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FORMTEXT       College/University to be attended ________________________________________________ College Address______________________________________________________________ Time study will be pursued _____________________________________________________ Course Number Course Title Semester Hours* Start Date End Date Tuition Costs Mandatory Fees*Limit of 3 credit hours per semesterSub TotalGrand Total All Costs Purpose of Assistance (Check One)  FORMCHECKBOX Job-Related: Supervisors signature verifies that course is related to current position responsibilities FORMCHECKBOX Degree Requirement: V"DEjkwx    ! 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