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Eligibility Exceptions form for IGNITE DAVIE
Please use this form to describe any special circumstances that we should know about when considering Ignite Davie eligibility.
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Student Name
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Your answer
Student's expected high school graduation date
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Your answer
Name of high school attended by student
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Your answer
Name of person completing this form
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Your answer
Relationship of person completing form to the student
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Your answer
Street Address
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Your answer
Phone Number(s) (Please list the best numbers to reach you should we have follow up questions regarding the information on this form)
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Your answer
Email address(es)
Your answer
Please select the criteria you are uncertain about regarding the student's initial eligibility for Ignite Davie.
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Residency in Davie County
Continual enrollment in a Davie County school (public or registered home school)
Full-time enrollment at Davidson County Community College
Other:
Required
If other was selected, please identify criteria of concern.
Please describe relevant information to consider regarding the eligibility criteria of concern.
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Your answer
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