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Thank you. CIS Use Only Verbal recommendation taken from Follow-up Note CIS Staff Signature 2014 Texas Education Agency Updated May 2014 Page 1 of 1. CIS STUDENT RECOMMENDATION FORM CIR14-001. 1 School Year 2014-2015 Last Name Grade First Name Please check X all areas of concern for this student and provide as much information as possible to assist in determining eligibility for CIS services. If the student receives appropriate consent and is eligible for CIS services CIS staff will contact...

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