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Begin by filling in the student’s personal information in Section I, including their name, date of birth, address, and contact details.
In Section II, identify any physical or mental impairments by checking the appropriate boxes that apply to the student.
Provide background information relevant to the student's educational and medical history in Section III.
In Section IV, check all major life activities that are substantially limited due to the identified impairment.
Outline specific interventions and strategies in Section V, detailing responsibilities and evaluation procedures for each accommodation.
Complete Sections VI through IX by entering initiation dates, review dates, participant names, and obtaining necessary signatures from parents or guardians.
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