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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
ores tend to do well in tasks that require a knowledge of mathematics, while people with low scores have more difficulty with these kinds of tasks. Science and Technical Skills is a general measure of science and technical skills which combines the General Science, Electronics Information, and Mechanical Comprehension test
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 - -
Scores 1 10 2) 30 90 60 60 70 80 90 99 Verbal Skills 55 69 69 69 Math Skills 58 --- — .....•• ---- — ---- — 80 80 80 Science and Technical Skills 46 42 24 33 ASVAB Tests General Science (GS) 50 -- - -- 57 48 52 Arithmetic Reasoning (AR) 58 81 77 79 Word Knowledge (WM 51
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 - -
Scores 1 10 2) 30 90 60 60 70 80 90 99 Verbal Skills 55 69 69 69 Math Skills 58 --- — .....•• ---- — ---- — 80 80 80 Science and Technical Skills 46 42 24 33 ASVAB Tests General Science (GS) 50 -- - -- 57 48 52 Arithmetic Reasoning (AR) 58 81 77 79 Word Knowledge (WM 51
Entities connected to both Permanent Medical Exemption and Science and Technical Skills
Legal Authority
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