/LoyaltyOath-Citizen

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VALENCIA COMMUNITY COLLEGE P. O. Box 3028 Orlando, Florida 32802

LOYALTY OATH State of County of

I,

a resident of the State of (print name)

and a citizen of the. United States of America, and being employed by or an officer of the Valencia Community College District Board of Trustees and a recipient of public funds as such employee or officer, do hereby solemnly swear or affirm that I will uphold the constitutions of the United States and of the State of Florida.

Signature

Sworn to and subscribed before me this day of

, (year)

He / She is personally known to me or has Produced (type of identification and number)

as identification. (expiration date of identification)

(seal)

(notary signature)

(print or type name of notary) HR Form #47 Revised 6/2006


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