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Student |
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Gender |
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Birthdate |
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School |
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Grade |
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Language: |
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Home |
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Student |
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Parent/Legal Guardian |
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Phone |
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Evidence relating to the Manifestation Determination: |
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If the LEA, the parent, and relevant members of the IEP Team make the determination that the conduct was a manifestation of the child’s disability, the IEP Team shall: |
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PERSONS WHOSE SIGNATURE APPEAR BELOW AFFIRM THAT THEY PARTICIPATED IN THIS MEETING: |
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