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Teacher’s Record—Loudoun County, Vii’gihia
General and Scholastic
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o Name A=t ot En S Sl LT
4. School Address ... 5. Permanent Address N\ 201 0TV & .
. Date of Birth fl'/// ...... / /f(7 ................ 7. Height
. Physical Conl(iilion ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, - 10. Church .......
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12. Dates, durations, names of institutions, college attendance
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IS MVTTS calR a1y S 16. Athletic coaching ability ...
17. Service Record
Session Subject or Grades Taught
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18. Reason for leaving service and other remarks