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8. 8 Smaller than a 10 font

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10. 10 Smaller than 10 font

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15. 15 YOU MUST SEND IN PROOF (a copy) OF YOUR license or registration :

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18. Mail your application and documents by or before September 11, 2012 to: Health Professions Education Foundation ATTN: LMH/HPEF/OSHPD 400 R Street, Room 460 Sacramento, CA 95811 Frequently Asked Questions at: www.healthprofessions.ca.gov Phone: (800) 773-1669 (916) 326-3640 Foundation Website at: www.healthprofessions.ca.govwww.healthprofessions.ca.gov 18