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GField66A LZField66C l CheckBox50E x CheckBox50G  CheckBox50I 8Field66K 'Field311M /?Table319pTable624LPage822HLayerET PvEvXvEEE!E D ]UQLabel298 ]U  L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Other (specify)\par } D s&Label288s&  Ld <d"ArialNew Roman CEPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\qc\cf1\b\f0\fs24 -- Special Services Cooperative --\fs28\par Individualized Education Program\par } D uLabel298u   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Last:\par } D u rtLastName8u>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D [Label298[   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 First:\par } D [  rtFirstName8[>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D !Label298   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 MI:\par } D s&" rtMiddleInitial8s&>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D s&0#Label288s&0  Ld <d"ArialNew Roman CEPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\qc\cf1\b\f0\fs24 Student Demographic Information (Optional)\par } D 0on $Label2980on   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Current Address:\par } D o0n % rtField308o0n >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D 0n &Label2980n   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Phone:\par } D 0s&n ' rtField3080s&n >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D n  (Label298n    L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Birth Date:\par } Dn ) rtField30(. Z?G)#v@;?F8n >Q  Miscellaneous ObjectsEd d"ArialtSerifidaaaadaddG^^^^^^^^eMM/dd/yy D n c *Label298 n c   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Age:\par } D cn X + rtField308cn X >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D Wn  ,Label298Wn    L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Student SSN:\par } D n s& - rtField308n s& >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D  m .Label298 m   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Present Grade Level:\par } D m b / rtField308m b >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D a  0Label298a    L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Resident District Home School:\par } D  t& 1 rtField308 t& >Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D  s& 2Label298 s&   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$$n{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 If the child is \ul\i NOT\ulnone\i0 receiving their special education and related services in their home school or resident district, indicate below where the services are being provided.\par } D  , "3Label298 , "  L@@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 District Agency Name:\par } D , t&"4 rtField308, t&">Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D ", `5Label298", `  L@@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 School Name:\par } D , "`6 rtField308, "`>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D `, 7Label298`,   L@@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Address:\par } D , `t&8 rtField308, `t&>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D " `9Label298" `  L@@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Phone:\par } D "s&`: rtField308 "s&`>Q  Ld <d"ArialtSerifiPdaaaadaddG^^^^^^^^ D  ;Label298    L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Primary Language or Communication Mode(s):\par } Da< CheckBox608a   4w  D =Label298   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 English\par } D> CheckBox608   4w  D ?Label298   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Spanish\par } D@ CheckBox608   4w  D GALabel298G   L@d <d"ArialtSerifiPJ:J:J:J:$$$$$$$$$$$$$$$$$$$${\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\sl240\slmult1\cf1\f0\fs16 Sign Language\par } D }!CLabel298}!   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