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w1wWORNA <br />IN/OUT SERVICE TRAINING PARTICIPATION SIGN -IN SHEET <br />DEPARTYENf of Comwnw <br />ALL COLUMNS MUST BE COMPLETED <br />COURSE TITLE: Medical Training MSDS-B 650 Dr Paulsen Dental Staff July 31, 1997 13:00-14°30 <br />INSTRUCTOR: DATE <br />CLASS DESIGNED FOR: INSTRUCTOR : TIME: ° <br />'S SIGNATURE: �� � G..._ ° <br />LENGTH OF CLASS HRS. <br />JOB CATEGORY LEGENDS: 1: ANCILLARY 2: CUSTODY MEDICAL 4: SUPERVISORY' <br />6: MANAGERMFUPT <br />110. <br />PRINT FULL NAME <br />SIGNATURE LAST 4 DIGITS <br />SOC. SEC. NO. <br />BARG. UNIT <br />� <br />X <br />WORK UNIT JOB <br />CAT. <br />JOB CL;SS <br />i5ll <br />P4 <br />TOOAYS <br />WORK N <br />�r <br />u4_0 <br />0V. o �� z, <br />STATE <br />TIME <br />e <br />OFF DUTY <br />PAY TIME <br />JOB <br />ATA REO <br />' L ��� r , 1 C.1 C <br />\91 <br />0 _X poll <br />6 _ LILA <br />' <br />B <br />✓ <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />