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CERA Affiliation Application (To be submitted to CERA the beginning of every Fall Semester) For Approval
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Document Date: 2012-08-15 09:50:36


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Company

CERA / /

/

Organization

Student Organization / Complete Organization / /

Person

Additional Advisors / Robert H. Smith / List / /

Position

*PSU Co-Advisor / President / advisors / Officer / Director / Advisor /Officer / scheduler / /

Product

Co-Advisor Name (PRINT) (SIGN) / /

Technology

cellular telephone / /

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