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Form For Teacher Assignment (Type 2)

The following shall be considered a legally binding amendment to the agreement made between _________________ and ________________, dated ________________:

________ (name of teacher) shall teach in ___________________ (school) of the ___________ (school district) for a term of ___________ consecutive weeks, commencing on _____________ (date).

___________________________ _______________________

Signature Date

___________________________ _______________________

Signature Date

___________________________ _______________________

Witness Date