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Has the applicant been screened for special education by a public school or private agency?
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Has the applicant been in any special needs or resource programs?
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Does the applicant have an IEP (individualized Education Plan) or 504 Plan?
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Has the applicant been involved with early intervention services? (speech, developmental delays, focusing/attention issues)
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Does the applicant receive behavioral counseling services on a regular basis?
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Does the applicant currently receive any professional educational support outside of school? (private learning center, private tutoring, small group instruction, occupational therapy)
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Does the applicant have any special medical needs?
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Does the applicant take medication for any medical reason on a daily basis? (ADHD, Diabetes, Asthma, Allergies,etc.)
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Is there any other information you believe we should know about the applicant?
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I understand this is a legal representation of my signature.
Clear
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Please click submit to continue to the Beacon Financial Agreement.
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