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F SCHOOL TRANSFERRING FROM (20) cm /STATE I COUNTY COUNTRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled in a Palm Beach County School? If yes, what school? 0 YES • NO (24) DATE ATTENDED N PBC All now and returning students compete the remaining form including page 2 12 NBR:1SS
e student resides on federal property. O O B. The student resides in low rent housing. O O C. The parent is employed on federal property located In P.B. County. O O D. The parent is employed on low rent housing located In P.B. County. O O E. The parent Is in the uniformed services of the United States. O
CHOOL TRANSFERRING FROM (2[9 CITY! STATE /COUNTY COUNTRY . (21) LAST ATTENDANCE DATE (72) LAST GRACE LEVEL (23) Have you ever been enrolled in a Palm Beach County School? If yes, what school? • YES 0 NO (24)DATE ATTENDED 94 PSC All new and returning students compete the remaining form including page 2 p2si Studen
student resides on federal property. 2 /6 " • The student resides In low rent housing. 0 ' The parent is employed on federal property located in P.B. County. 0 The parent is employed on low rent housing located in P.B. County. 0 E. The parent Is In the uniformed services of the United States. 0 0 If E
adiness Program O Z. Not OS) Is the student a single parent? O YES O NO TRANSFER INFORMATION ("Para; 13e4ch Ft- (23) ave you ever een enrolled In Palm Beach County School? W YES O NO If yes, what school? (21) LAST ATTENDANCE DATE a - L4 - (21) DATE ATTENDED IN Pac HEALTH SCREENING INFORMATION (25 ) Students will
udent resides on federal property. • 0 B. The student resides in low rent housing. O Iii C. The parent is employed on federal property located in P.B. County. C e D. The parent is employed on low rent housing Vacated In P.B. County. C71 E The parent is in the uniformed services of the United States. O 0
E Cf SCHOOL TRANSFERRING FROM (20) WWI STATE I COUNTY =WRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled In a Palm Beach County School? DYES 0 NO If yes, what school? (21) DATE ATTENDED IN PBC All new and returning students compete the remaining form including page 2 rzsi Student
e student resides on federal property 0 0 B. The student resides n low rent housing U U C. The parent is employed on federal property located in P.B. County 0 3 D. The parent is employed on low rent housing located n P B. County 0 o E. The parent is in the uniformed services of the Unted States ic) NIC
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ORGANIZATIONLeon Black
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