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- Click ‘Get Form’ to open it in the editor.
- Begin with Section I, where you will enter your Driver’s License Number, Social Security Number, and select your sex. Fill in your legal name and date of birth in the specified format.
- In Section II, indicate the enrollment school or program by entering its name and checking the appropriate box for GED Program, Job Training Program, or Secondary Program. Provide the address and total number of disciplinary points if applicable.
- Complete the compliance section by marking whether you are in compliance or not. Enter relevant dates next to each statement that applies to your situation.
- In Section III, provide details regarding exclusion status if applicable. Enter dates as required and ensure all signatures are completed before submission.
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