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Student Eligibility Verification
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Email
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Record my email address with my response
Staff name
*
Your answer
Department of Submitter
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Elementary
Secondary
Administration
Which Six Weeks?
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1st Progress Reports
1st Six Weeks
2nd Progress Reports
2nd Six Weeks
3rd Progress Reports
3rd Six Weeks
4th Progress Reports
4th Six Weeks
5th Progress Reports
5th Six Weeks
6th Progress Reports
6th Six Weeks
Please list students by grade level that are eligible.
*
Your answer
Please list students by grade level that are ineligible.
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Your answer
Please list students by grade level that are regaining eligibility.
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Your answer
Signature
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Your signature on this form is stating that you have checked grades and all above information is correct, accurate, and up to date.
Your answer
A copy of your responses will be emailed to .
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