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Haysville Alternative High School Referral Form 2009
Haysville Alternative High School Referral Form 2009
Handle: Document-4155
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Monday, July 6, 2009 09:23:36 AM CDT
Monday, July 6, 2009 09:23:36 AM CDT
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  • Haysville Alternative High School Referral Form 2009-2010 Student’s Name:____________________________________________________ Date:_____________________________________________________________ Yes No 1.
  • I am a special education or 504 student who is currently attending Campus High School.
  • Credits completed ___________ Step 1: See Special Education Department Head for this form.
  • Dept.
  • Head Date Step 6: Your interview with Mr.
  • Regier is scheduled for: _________________________ Step 7: Your interview with Mr. Foster is scheduled for: __________________________ Step 8: Your placement is APPROVED or DISAPPROVED Step 9: Your IEP is scheduled for: ___________________________________________
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Preferred Version: Haysville Alternative High School Referral Form 2009