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Note to JRJ State Administering Agencies: the following form should be used only in cases wherein a JRJ program applicant has been selected to participate for the first time. Appendix B John R. Justice Student Loan Repay
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Document Date: 2013-11-22 11:44:43

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United States / /

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United States military / Congress / Department of Justice / Internal Revenue Service / BJA / designated JRJSLRP State administrative agency / Federal government / /

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prosecutor / attorney / Director / /

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Public Law / /

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