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Counselor Use Only Form
Project SEARCH Student Applicant's Name:
First
Last
School of Residence:
Total Credits to Date:
Cumulative GPA:
Has the student met high school completion requirements?
Yes
No
Attendance: Days Absent - Grade 11:
Times Tardy - Grade 11:
Attendance: Days Absent - Grade 12:
Times Tardy - Grade 12:
Comments about Attendance:
Reporting Counselor's Name:
First
Last
Arrangements must be made to defer the High School Diploma/Certificate of Attendance. Has this been completed?
Yes
No
Comments:
Counselor's Name:
First
Last
Date
MM slash DD slash YYYY
Please confirm:
I certify that the above facts are true to the best of my knowledge.
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