Ds-2019 Application Form - Documentation To Be Submitted To The Ifss Office Page 7

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(Must be signed by department hiring authority)
Section 5: Department Approval
The Primary Department Contact will receive all correspondence regarding this request.
Name & Title of Department Hiring Authority
Primary Department Contact Person
Hiring Authority Signature
Contact Telephone
Date
Contact E-mail Address
Department Mailing Address
Secondary Department contact person
Secondary Department Contact Person
Contact Telephone
Contact E-mail Address
Office Fax#
Dispatch Instructions:
 D epartmental Pick-up.
 E xpress or courier service to visitor. IFSS will only accept a completed UPS or FedEx air-bill.
Attach  Completed express mail air-bill
S:\OHR\DEPT\JScholars\DS_2019 Application.doc
Revised 03/2010
7

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