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It requires the applicant to provide personal information such as first name, last name, personal email, home address, and contact telephone numbers. Specific fields are dedicated to detailing the training program, including the name of the program, which should correspond to certificates showing 135 hours of coursework, and the dates of the courses attended. It also requests employer or business name and business email address. The form includes distinct sections for personal and business contact details, with address fields requiring city, state/province, country, and postal code. A notable instruction is that the Name MUST match government-issued photo ID.","| First Name | Last Name | Name MUST match government-issued photo ID |\n| --- | --- | --- |\n| Personal Email |  |  |\n| Home Street Address |  |  |\n| City State/Province |  | Country Postal Code |\n| Home/Primary Telephone Number |  | Business Telephone Number |\n| Lymphedema and Related Disorders Training |  | Program (correspond to certificate(s) showing 135-hours) |\n| Dates of Course(s) |  |  |\n| Employer/Business Name |  |  |\n\n\n| City | State/Province | Country | Postal Code |\n| --- | --- | --- | --- |\n| Business Email |  |  |  |","cbCaifRWaicNdssl","https://ap.wps.com/l/cbCaifRWaicNdssl","pdf",138975,1,"English","en",105,"# Lymphedema and Related Disorders Training\n## Personal Information\n## Training Details\n## Employer/Business Information","[{\"question\":\"What is the purpose of this document?\",\"answer\":\"This document is an application form for Lymphedema and Related Disorders 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