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Thursday, July 29, 2010
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*Your Name: *Date:
*Student Name (First, Middle, Last):
*DOB: *Exit Date:
Case Mgr:
If student is moving to another district within OCEC, which district?
*REASON FOR EXIT
Moved Dismissed from Spec Ed Dropped out (17 or older) Graduated with diploma Graduated with Certificate Withdrawn by Parent Refused Spec Ed Services Placed in Reg. Safe School (Challenge) Placed in Rehab, Mental Health, DOC Ran Away Expelled Reached Maximim Age (22) Deceased Interim Alternative Setting (45 Days) Elem District to HS District Other (explain below)
Other reason for exit:
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