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Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information

Form number: 335-75A

Audience: MCPS Staff

Last revised: August 2018

Form 335-75 - Application for the Recovery and Academic Program (RAP)

Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information	463 K	English
Consentimiento para Servicios del Programa de Recuperación Académica y Autorización para Divulgación de Información Confidencial	441 K	Spanish
Consentement aux Services du Programme de Récupération et Académique et Autorisation pour la Divulgation d'Informations Confidentielles	442 K	French
Ưng Thuận cho Các Dịch Vụ của Chương Trình Phục Hồi và Học Vấn và Cho Phép Phổ Biến Thông Tin Kín	448 K	Vietnamese
同意接受恢復和學業計畫服務及授權披露保密信息	578 K	Chinese
회복과 학업 프로그램 서비스 승인과 비밀 보장 정보의 공유 허가서	467 K	Korean
የማገገሚያ እና አካደሚክ ፕሮግራም አገልግሎቶች ፈቃድ እና ሚስጥራዊ ኢንፎርሜሽን የማስተላለፍ ስምምነት	468 K	Amharic

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