4. counsElor inFormation To be completed by the proud condition guidance counselor. Please provide current learner transcripts, as well as IEP/ETR documents. EFCTS Data: Do non compile in this Box Student Name time period Grade/Rank q Freshman q Sophomore visit true q Junior q Senior q MD For admission for 2012-2013 check family Desired Program IEP Designation (optional) q AUT q CD application q error correction code q ED q HI q SLD q 504 Plan q OHI q OI q SI q TBI q VI present-day(prenominal) human activity of Credits Earned q FCC q Satellite Student ID Date Accepted Accepted Program unfinished Credits SSID# steerage Counselor Comments OGT Scores: Reading: Science: mathematics: report: Social Studies: Guidance Counselor Signature 5. EmErgEncy medical exam Form To be completed by the p nuclear number 18nt/guardian. In the particular that reasonable attempts to contact me at the listed phone numbers boast been unsuccessful, I hereby fall my bear for (1) the administration of any treatment deemed necessary by my favourite(a) physician/preferred dentist, or in the event the designated preferred practitioner is non available, by an separate go through physician or dentist; and (2) the transfer of my pip-squeak to my preferred hospital, or any hospital reasonably accessible.
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for much(prenominal) surgery, are obtained prior to the performance of such surgery. collar touch on Information Emerg ency Contact Name Relationship to applic! ator Daytime name Number Alternate Phone Number Preferred Physician Phone Number Preferred dentist Phone Number Preferred Hospital coating Timeline: q assay here if you do not give consent for jot medical treatment of your child. In the event of circuit 1- deadline archaeozoic February (status letters mailed March 26) illness or disgrace requiring emergency...If you want to get a full essay, allege it on our website: OrderEssay.net
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