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* 1. Select School Name

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* 2. Are you the school's designated Test Chairperson?

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* 3. Enter the name of the person completing this form

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* 4. Date this verification form was completed

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* 5. I verify that I viewed the screencast training for the 2016-2017 Grade 3 Midyear Promotion, and I agree to follow the administration presented.

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