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I hereby certify that the foregoing is a true record of my education and experience. I understand that qualifying degrees and/or experience may be required from me to fulfill academic and experience criteria for membership. I have personally reviewed and am familiar with IEBCA's Mission, Vision, and By-Laws, and agree to conform to the requirements contained therein. If granted membership, I hereby agree to abide by the terms of the IEBCA's rules and regulations and all applicable laws.

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