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Student name Date Period STUDENT PORTION (this part must be filled out by the student) Please check off if you have ever had the following AND had to go to a doctor about: Asthma (Do you have an inhaler?)
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How to fill out the student portion of this part:

01
Start by carefully reading the instructions provided on the form. Make sure you understand what information is required in the student portion.
02
Gather all the necessary documents and information before you begin filling out the form. This may include your student identification number, school and program details, and any other relevant information.
03
Begin by entering your personal details in the designated fields. This usually includes your full name, date of birth, and contact information such as phone number and email address.
04
Next, provide your student identification number or any other identification details that are required. This helps to ensure that the form is accurately attributed to the correct student.
05
If there are specific questions or sections related to your course or program, make sure to answer them accurately and in detail. This may include providing your major or field of study, anticipated graduation date, and any specific requirements or preferences.
06
Double-check all the information you have entered in the student portion for accuracy and completeness. It is important to ensure that there are no errors or omissions that could delay the processing of your form.
07
Lastly, sign and date the student portion of the form where indicated. This serves as your confirmation that the information provided is true and accurate.

Who needs the student portion of this part:

The student portion of this part is typically required for students who are involved in a particular program, course, or educational institution. It is often used to collect specific information or to verify the identity of the student.
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The student portion is the section of a form or document that must be completed by the student.
The student is typically required to fill out and file the student portion.
The student can fill out the student portion by providing the required information accurately and completely.
The purpose of the student portion is to gather specific information from the student for record-keeping or identification purposes.
The information that must be reported on the student portion may vary depending on the document, but typically includes personal details such as name, contact information, and student ID.
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