Present Mailing A ress Phone Permanent Mailing A ress Phone Social Security# N. Y. S. Teachers Retirement# NEW YORK STATE ERTIFI ATION N. Y. S. Certification: Yes No Pen ing If yes or en ing lease com lete: Area Subject Initial Professional Transitional Provisional Permanent Effective Date Ex iration Date Certificate# Area Subject Initial Professional Transitional Provisional Permanent Effective Date Ex iration Date Certificate# New York State Coaching Certificate Yes No Pen ingThe Keshequa Central ...
