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Completed by Site Coordinator:Last Name: First Name: Middle Name: Grade: Staff Information: Funding Sources: TEA/CIS One-Star Initial Assessment Date: Recommendation Source: CIS Staff Self Referral
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Instructions for the Completed by Site Coordinator: form

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The completed by site coordinator form is a document that verifies the completion of tasks or responsibilities by the site coordinator.
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The purpose of the completed by site coordinator form is to document and verify the completion of tasks or responsibilities by the site coordinator.
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