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if checked provide a copy) PBSD 0636 (Rev. 01/26/2005) page 1 of 2 EFTA01710040 STUDENT LEGAL NAME MN Rat middle) 9. Disclosures for entry into Palm Beach County School District (check all that apply) O The student has had Juvenile Justice actions taken against him/her. 0 The student has been expelled from School O The stud
redits n2 Ma tics 2 credits M 3 credits English 0000 Laboratory Science 2 credits Laboratory Science 3 credits Math or Science I credit Social Studies 3 credits Math 0.000 Social Studies 3 credits World History/Wodd Geography, 1 credit Laboratory Science 0.000 World History/World Geography,
r Plan? (I Medi& provides copy) P650 0636 (Rev. oit2smos) pap 1 of 2 EFTA01710075 LEGAL NAME pea( 6* t .,, fS " b. Disclosures for entry into Palm Beach County School District (check all that apply) 0 The student has had juvenile justice actions taken against him/her. 011ie student has been expelled from school. 0 The s
) O n () Reading Q-- )Q± if' A /F. iii English 4 J3 ,514 R-- ---- Mt- Spelling azz ip h ,.D4- Handwriting . 5 S Mathematics ge 6 A 'Social Studies A a- Aci- ,81" Ertl C Science / 5 5 S *Sri— ,r4 Health 4, a a- a- /7- Music 5. 5 sst- ,..5.4 5 II- ...0-: Art 5 SI- ,54- S )e--- .5/— P
if checked provide a copy) PBSD 0636 (Rev. 01/26/2005) page 1 of 2 EFTA01727093 STUDENT LEGAL NAME MN Rat middle) 9. Disclosures for entry into Palm Beach County School District (check all that apply) O The student has had Juvenile Justice actions taken against him/her. 0 The student has been expelled from school O The stud
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