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Pupil |
, |
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Date of birth |
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Grade |
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Gender |
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Parent/Guardian |
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Residency |
- |
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Resident district |
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Resident school |
- |
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Attending school |
- |
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SSID# |
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Ethnicity (Hispanic indicator) |
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EL:
Yes
No
Migrant:
Yes
No
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Race |
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Native language |
- |
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ELIGIBILITY |
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Primary disability |
- |
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Secondary disability
(No secondary disability)
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-
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INSTRUCTIONAL SETTING |
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SERVICES (To add or edit services, click on the "1 General" tab) |
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[DNR]
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/wk
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Grp
Ind
ST
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- |
,
-
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