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STUDENT INFORMATION |
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Hispanic indicator
Hispanic indicator
Hispanic indicator
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(Selecting "yes" causes Hispanic to be the primary ethnicity) |
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Race: |
1.
1.
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2.
2.
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3.
3.
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4.
4.
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ELIGIBILITY |
Primary Disability
Primary Disability
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Other Disabilities (select all that apply) |
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Secondary Disability
Secondary Disability
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Instructional Settings/Services |
Programs and services will be provided according to when student is in attendance and consistent with the public school calendar and scheduled services, excluding holidays, vacations, and non-instructional days unless otherwise specified. |
Services considered by the IEP Team based on the student's educational needs and adopted goals: |
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