ORT YES/NO AMT/FREQ. NAME/AGE OF CHILDREN EDUCATIONAL HISTORY: HIGHEST LEVEL OF EDUCATION (HIGH SCHOOL DIPLOMA) (NO HIGH SCHOOL DIPLOMA / GED) (VOCATIONAL/APPRENTICE GRADUATE) (ASSOCIATE'S DEGREE) (BACHELOR'S DEGREE) (MASTER'S DEGREE) (DOCTORATE) (UNKNOWN) LAST GRADE/CREDIT COMPLETED ANII/OR EFTA0017

0 1.00 1.00 1.00 0.50 0.50 0.00 0.50 0.00 1.50 0-50 0.50 1.50 0.00 0.00 1.00 0.00 0.00 CREDITS, CUMULATIVE: 25.00 • TOTALS INCLUDE VOCATIONAL CPA DISTRICT: 1.00* 0.50 0.50 0.00* 0.00 0.00 0.00 9.00 0.00 24.00 1.0D 4 PERFORM PINE ARTS CPA OTY PTS STATE: CERTIFIED SIGNATURE: