DUS Student Registration / Inscripción de Dstudiante DUS

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Student Last Name / Apellido del Estudiante *

Student First Name / Primer Nombre del Estudiante *

Student Middle Name / Segundo Nombre Del Estudiante

Student date of birth / Fecha de Nacimiento *

YYYY

Student Birth Gender / Género de Nacimiento del Estudiante

Female / mujer

Male / hombre

Clear selection

Student Entrance Grade Level / Estrada de Nivel de Grado del Estudiante *

Has the student been enrolled in Dowagiac Schools in the past? / El Estudiante a estado registrado/inscrito antes en la escuela de Dowagiac? *

Yes

If no, please list the previous school district (if not applicable, type none) / SI es No por favor indique una lista con el previo distrito escolar (Si no es aplicable escriba ninguno) *

Has the student previously been expelled from school? / El estudiante a sido expulsado anterionmente? *

Yes

Does the student receive 504 services? / El estudiante recibe el plan de servicios 504? *

Yes

Unsure

Does the student have an IEP? / El estudiante tiene un plan de IEP? *

Yes

Unsure

Does the student receive speech services? / El estudiante recibe servicios del habla? *

Yes

Unsure

Does the student receive Title I services? / El estudiante recibe servicios del Title I? *

Yes

Unsure

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