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Purpose of request
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IUSSW Alum requesting out-of-state licensing verification
Out-of-state graduate seeking transcript review for Indiana LSW/LCSW licensing verification
School Social Work Endorsement for IDOE School Social Work License Review
Field/Practicum Verification
Other records request
For what purpose is the information needed?
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Please be specific about exactly what you need for licensing, transcript review, or from your student record. If this is a School Social Work Endorsement for licensing review please add any additional or relevant information the committee may find useful.
Date needed by:
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MM
DD
YYYY
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(###) ###-####
For licensing verification and student records request
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