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PLEASE PRINT
| Date
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| Name of Graduate Recommending the Award
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| Name of Student Exactly as It Should Appear on the Certificate
|
| Number of Words Successfully Repeated During an Exact Lisetning Training
Session
|
I hereby confirm that I am a Registered Graduate of the Exact Listening Course and attest that the above named individual has successfully repeated the number of words specified above according to the standards outlined in the Exact Listening manual.
Signature of Registered Graduate:
Mail Achievement Award Certificate to:
| Name
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| Street
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| City, State/Province, Zip/Postal Code, Country
|