Epstein Secrets

nic Name: (Print or stamp) Expiration Date: (t5 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

MATION . PBS() 0797 (REV. 9/12/2001) SIGNATURE OF DATA PROCESSOR ORIGINAL - Cumulative Folder Copy-Office File DATE EFTA01709730 Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 10 Student Report The. Florida Department of Education believes that student has the ability to learn and s

ic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 cer

cruiter for details. * U.S. GOVERNMENT PRINTING OFFICE: 2002-752-083 EFTA01709866 FIAT Flo tido Cornprelunt site Assets tent Test Spring 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: ID: SCHOOL: DISTRICT: 50-PALM BEACH This report shows your r

Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 - -

your local recruiter for details. 0 I I0 AnVFRNELKKIT P11047000 ,010. 2C0.0110 EFTA01710043 needs (engrebensise Assessment Test October 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: tD: SCHOOL: 2331-ROYAL PALM BEACH HIGH DISTRICT: 60-PALM BEAC

ic Name: 05•days after next immuilization.appoiutrnent) (Print or stamp) . . _ . . . • Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

routhas de las pregunlas del FCAT correctamento. NOILekti ou nan nivo Has la. Ou repair: eve nan kesyon FCAT yokonlitteman. 5 4 2 Spring 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading Student and Parent Report Grade 08 High Low Your 2004 Reading Content Scores Content Areas Points Earned points po *ye

Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 - -

your local recruiter for details. 0 I I0 AnVFRNELKKIT P11047000 ,010. 2C0.0110 EFTA01727096 needs (engrebensise Assessment Test October 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: tD: SCHOOL: 2331-ROYAL PALM BEACH HIGH DISTRICT: 60-PALM BEAC