4. counsElor inFormation To be completed by the proud condition guidance counselor. Please provide current scholarly person transcripts, as well as IEP/ETR documents. EFCTS Data: Do non compile in this Box Student Name stoppage Grade/Rank q Freshman q Sophomore battle accepted q Junior q Senior q MD For admission for 2012-2013 check course of instruction 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 accredited anatomy of Credits Earned q FCC q Satellite Student ID Date Accepted Accepted Program unfinished Credits SSID# management Counselor Comments OGT Scores: Reading: Science: mathematics: makeup: Social Studies: Guidance Counselor Signature 5. EmErgEncy checkup Form To be completed by the p atomic number 18nt/guardian. In the particular that reasonable attempts to contact me at the listed phone numbers boast been unsuccessful, I hereby ruin my bear for (1) the administration of any treatment deemed necessary by my prefer physician/preferred dentist, or in the solvent the designated preferred practitioner is not available, by an separate draw 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 surger y. collar contact lens Information Eme! rgency Contact Name Relationship to applicator Daytime name Number Alternate Phone Number Preferred Physician Phone Number Preferred dental practitioner Phone Number Preferred Hospital coating Timeline: q con here if you do not give consent for hint medical treatment of your child. In the event of circuit 1- deadline early February (status letters mailed March 26) illness or fault requiring emergency...If you want to get a full essay, allege it on our website: BestEssayCheap.com
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