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Out-of State Title III English Learners Information needed for appropriate educational placement I. E. adjudicated status data academic and behavioral SOCIAL/MEDICAL INFORMATION 9. Immunization Record Provided Yes No 9. Receiving Counseling Current Medications Counselor SCHOOL DISTRICT USE ONLY School Assigned S3 Record Code District Student Number Check and Connect Mentor Transportation Arranged YICSIS Number SSID Number District Signature Revision Date December 15 2006 Cell/Pager Number....
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A youth must be is a form or document that is required to be filled out by individuals under a certain age.
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Individuals who are considered youth or minors are required to file a youth must be form.
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