DATE: May 1, '09
12:21 PM
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Essential Functions - Self Declaration
I have read and understand the essential functions listed for the CLS program at Idaho State University (ISU). I feel my health, as well as, my physical and mental abilities allow me to fulfill all essential functions associated with ISU's CLS program and the CLS profession.


Print Full Name:


 Signature:
Date:


(Print, Sign and Submit to CLS Program Director)