This government document is issued by Commission on Teacher Credentialing for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:zj4ggd3gpca&q=https://www.ctc.ca.gov/docs/default-source/educator-prep/forms/withdrawal-from-intern-program.pdf%3Fsfvrsn%3D7afb1526_4&sa=U&ved=2ahUKEwj0_YyP2aryAhUomYsKHV2YCcQ4MhAWMAB6BAgJEAE&usg=AOvVaw1-yUoOGvdLlJ55BYEduvPD