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            "text": "# Females: ___ # Males: ___",
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            "type": "text",
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            "text": "White: ___ Black/African American: ___ American Indian/Alaska Native: ___",
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                    "type": "form_field",
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                        "field_kind": "text",
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            "type": "text",
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            "text": "Asian: ___ Hispanic/Latino Origin: ___ Native Hawaiian/Other Pacific Islander: ___",
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                    "id": "p4.16.1",
                    "order": 60,
                    "type": "form_field",
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                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "Asian: ___ Hispanic/Latino Origin: ___ Native Hawaiian/Other Pacific Islander: ___",
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            "type": "text",
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            "text": "Multiracial: ___ Students who qualify for free or reduced meals: ___",
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                    "order": 62,
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                        "field_kind": "text",
                        "label": "Multiracial: ___ Students who qualify for free or reduced meals: ___",
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            "text": "504 Plans: ___ IEPs/IFSPs: ___ GSSPs: ___ ELL: ___ Behavior Plans: ___",
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                    "order": 64,
                    "type": "form_field",
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                    "text": "",
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                        "field_kind": "text",
                        "label": "504 Plans: ___ IEPs/IFSPs: ___ GSSPs: ___ ELL: ___ Behavior Plans: ___",
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            "text": "Alternative Certification Applicant's statement: I verify that the information in this application is current and accurate. I further verify that I am employed full-time as a Special Education Teacher at this site."
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            "type": "text",
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            "text": "Applicant's signature: ___",
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                    "id": "p4.20.1",
                    "order": 67,
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                        "field_kind": "signature",
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            "text": "Date: ___",
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                        "field_kind": "text",
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            "text": "Principal's statement:",
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        {
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            "text": "I verify that this applicant is employed full-time as a Special Education Teacher at this site and that he or she has my permission and support to complete his or her alternative certification practicum here, during the next academic semester (fall or spring)."
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            "text": "Principal's signature:",
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            "text": "Date:",
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            "type": "footer",
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            "text": "Revised Spring 2018",
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