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            "text": "Applicant's Disability/Condition",
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                    "text": "Applicant's Disability/Condition:",
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                    "text": "Are there any other co-existing conditions or relevant difficulties?",
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                    "text": "The information provided by the applicant in the EIS Checklist below should guide you to the relevant EIS Indicators. Not all Indicators are relevant to all applicants. It is important to note that all Indicators do not need to be completed to meet the DARE educational impact criteria.",
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                    "text": "Please ask the applicant: Has your educational experience been affected by your disability/condition in any of the following ways? Record their response to each of the following:",
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                    "text": "1.",
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                    "text": "I needed and received supports in school or exam accommodations.",
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            "text": "If yes, please select years that support(s) was received:"
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                "embedded_text": "Support 1st Year 2nd Year 3rd Year 4th Year 5th Year 6th Year\nLearning Support\nResource Hours\nSpecial Needs Assistant\nVisiting Teacher Service\nAssistive Technology\nCare Support Team\nHome Tuition Hours\nEd. Welfare Officer Support\nBehavioural Support Class (NBSS)\nASD Class\nOther:"
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