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1. School Name: (Required.)

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2. School BEDS Code: (Required.)

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3. District Name (for Public Schools only):

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4. Name and Title of Person Completing this Survey: (Required.)

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5. Will students in your school building take the Regents Examination in English Language Arts (Common Core) in June 2015? (Required.)

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6. If yes, approximately how many of your students are expected to take this test?

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