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* 1. District Name

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* 2. Superintendent Name

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* 3. Superintendent Email

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* 4. Program Coordinator Name (Please include full name)

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* 5. Program Coordinator Email

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* 6. Program Coordinator Phone Number (include area code)

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* 7. Digital Signature: By entering your name you are agreeing to participate in the Seal of Biliteracy program and adhere to the program requirements. 

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