Documentation For Supplemental Aids & Services For The Month Of October 2015
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1Berrien County Intermediate School District
Documentation for Supplemental Aids & Services
October 2015
For the month of
Student Name
Teacher
Cross out the date you used the listed accommodation. Turn in to your principal at the end of each month.
Accommodation:
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
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5
6
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Notes
Accommodation:
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Notes
Accommodation:
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Notes
Accommodation:
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Notes
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