Background Information

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* 1. School District:

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* 2. Superintendent Name:

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* 3. Superintendent Email:

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* 4. Superintendent Phone:

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* 5. Contact Person Name (if different than Supt.):

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* 6. Contact Person Role (if different than Supt.):

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* 7. Contact Person Email (if different than Supt.):

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* 8. Contact Person Phone (if different than Supt.):

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