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Functional Assessment Checklist for Teachers and Staff (Factset A) Step 1Step 2Student / Grade: Anita Hartsdale: 11012010Interviewer: Mr. MichaelRespondent(s): Ms. Student Profile: Please identify

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Individuals who have been appointed or selected as test administrators for the 20182019 spring test are required to fill out this form. This includes educators, school administrators, and other individuals involved in the administration of educational tests during that period.

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The 20182019 spring test administrators are individuals responsible for overseeing and administering standardized tests during the spring of 2018 and 2019.

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