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* 1. Name:

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* 2. Role

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* 3. CBO

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* 4. Site(s)

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* 5. I understand my agency's responsibilities under the American with Disabilities Act (ADA) is to provide reasonable access to program regardless of ability.

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* 6. Does your enrollment form ask families if their child has an IEP or 504- or requires additional support to thrive in the after school program?

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* 7. Does your enrollment packet include an SFUSD release of information form for families to sign? *Will be e-mailed out separately and made available on the HUB.

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* 8. We have an internal protocol around communication and planning for students who need additional support to access program that is documented in hard/soft copy.

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* 9. Do you have all staff who will review student information sign an oath of confidentiality (Per contract requirements).

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* 10. My site/agency needs more support or content around.

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* 11. What will you do next, as a result of this meeting? 

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