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DoDEA Form 21 SHSM H-12-3 2017-2025 free printable template

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This form is used to obtain health-related information about a student enrolling or enrolled in Department of Defense Education Activity (DoDEA) schools, specifically for sports participation clearance.
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How to fill out DoDEA Form 21 SHSM H-12-3

01
Begin by downloading the DoDEA Form 21 SHSM H-12-3 from the official DoDEA website.
02
Fill in the personal information section, including your name, address, and contact information.
03
Provide your current school information, including the name of the school and the grade you are in.
04
Complete the section that asks for details about your academic performance and achievements.
05
If applicable, include information about any extracurricular activities or special programs you are involved in.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the bottom before submission.
08
Submit the completed form according to the instructions provided, ensuring you keep a copy for your records.

Who needs DoDEA Form 21 SHSM H-12-3?

01
Students enrolled in the Department of Defense Education Activity (DoDEA) schools who are applying for specific educational programs or scholarships.
02
Parents or guardians of students who may need to provide information for academic assessment or eligibility verification.
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DoDEA Form 21 SHSM H-12-3 is a specific form used by the Department of Defense Education Activity (DoDEA) to collect data related to student health and special needs services.
DoDEA Form 21 SHSM H-12-3 is required to be filed by schools within the DoDEA system for students who receive special education services or have health-related needs.
To fill out DoDEA Form 21 SHSM H-12-3, individuals should provide accurate student information, including personal details, health conditions, and the services the student is receiving. Specific guidance is often provided by school administration.
The purpose of DoDEA Form 21 SHSM H-12-3 is to ensure that appropriate health and special needs services are documented and provided to students, allowing for better support and resources.
Information that must be reported on DoDEA Form 21 SHSM H-12-3 includes student identification details, health conditions, types of services required, and any relevant educational information regarding the student's needs.
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