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Scholarship Placement Registration-Saturday, December 19, 2020 (10am-12pm) online
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Student First Name
*
Your answer
Student Last name
*
Your answer
Parent/Guardian First & Last Name
*
Your answer
Parent Phone
*
Your answer
Parent Email
*
Your answer
Student Email
*
Your answer
Current Grade
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Your answer
Current School
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Your answer
Street Address
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Your answer
City
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Your answer
State & Zip Code
*
Your answer
Des the student currently receive Special Education services?
*
Yes
No
If so, which plan does the student currently have?
*
IEP (individualized Educational Plan)
SP (Service Plan)
504 Plan
SEGO
N/A
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