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Title:	Child Specific Equipment Request Form
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Handle:	Document-93109
Owner:	Clevenger, Kelley (User-4966, 13739:EVERETT)^DS
Create Date:	Thursday, November 16, 2017 10:33:59 AM PST
Modified Date:	Thursday, November 16, 2017 10:35:47 AM PST
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Abstract:	EVERETT PUBLIC SCHOOLS 3900 Broadway (425) 385-5250SPECIAL SERVICESEVERETT, WASHINGTON 98201CHILD-SPECIFIC EQUIPMENT RECOMMENDATIONDATE: STUDENTDOB:CA:SCHOOL:TEACHER/GRADE:EQUIPMENT/TECHNOLOGY RECOMMENDED:PRODUCT INFORMATION/VENDOR/PRICE LIST SHIPPING CHARGES:RATIONALE:IEP TEAM MEMBERS' SIGNATURES Teacher INTERVENTIONIST Teacher NURSE SLP PSYCHOLOGIST ...
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Content Type:	Microsoft Office Word (.doc, .dot) - application/msword
File name:	child specific equip req_.doc
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Max Versions:	4
Size:	36352
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Appears In:	Manual
Preferred Version:	Child Specific Equipment Request Form