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Roosevelt School District
We are Roosevelt. Somos Roosevelt.
602-243-4800
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RSD No 66
Pupil Personnel Resources
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Pupil Personnel Resources
Pupil Personnel Internal Forms
45 Day Student Screening Report
45dayscreeningform.pdf
76.41 KB
(Last Modified on September 7, 2016)
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Affidavit of Shared Residence (English)
affidavitofsharedresidence.eng.pdf
23.54 KB
(Last Modified on September 7, 2016)
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Affidavit of Shared Residence (Spanish)
affidavitofsharedresidence.spa.pdf
25.08 KB
(Last Modified on September 7, 2016)
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Arizona Residency Documentation Form (English)
azresidencydocumentationform.eng.pdf
22.09 KB
(Last Modified on September 7, 2016)
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Arizona Residency Documentation Form (Spanish)
azresidencydocumentationform.spa.pdf
20.84 KB
(Last Modified on September 7, 2016)
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Emergency Data Form (English)
65050002emergencydataform.pdf
148.59 KB
(Last Modified on September 8, 2016)
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Emergency Data Form (Spanish)
emergencydataformspa.pdf
24.78 KB
(Last Modified on September 8, 2016)
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Exemption for Immunization for Medical Reasons (English)
medicalexemptionformforimmunizations072013.pdf
178.33 KB
(Last Modified on September 7, 2016)
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Exemption for Immunization for Medical Reasons (Spanish)
medicalexemptionformespanol.pdf
160.45 KB
(Last Modified on September 7, 2016)
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Exemption for Immunization for Personal Belief (English)
personalbeliefexemptionforimmunizations072013.pdf
245.37 KB
(Last Modified on September 7, 2016)
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Exemption for Immunization for Personal Belief (Spanish)
personalbeliefexemptionespanol.pdf
247.34 KB
(Last Modified on September 7, 2016)
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Health History (English)
65050018healthhistory.pdf
26.52 KB
(Last Modified on September 8, 2016)
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Health History (Spanish)
65050018healthhistoryspa.pdf
26.56 KB
(Last Modified on September 8, 2016)
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Homebound Teacher Log
HomeBoundPrivatePlacementServicesLog2015.pdf
284.36 KB
(Last Modified on September 7, 2016)
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Individual Student Progress Profile (English)
individualstudentprogressprofileeng.pdf
21.08 KB
(Last Modified on September 7, 2016)
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Individual Student Progress Profile (Spanish)
individualstudentprogressprofilespa.pdf
20.71 KB
(Last Modified on September 7, 2016)
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Marketing Survey (Bilingual)
Marketing2BSurvey2BSpanishRev.pdf
169.17 KB
(Last Modified on September 7, 2016)
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Media Release Consent Form (Bilingual)
mediareleaseconsentrevised31115.pdf
348.38 KB
(Last Modified on September 8, 2016)
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Migrant Questionnaire (English)
migrantquestionnairerevised31115.pdf
193.02 KB
(Last Modified on September 8, 2016)
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Migrant Questionnaire (Spanish)
migrantquestionnairesparevised31115spa.pdf
216.13 KB
(Last Modified on September 8, 2016)
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Notice of Possible Student Retention (English)
noticeofpossiblestudentretentioneng.pdf
22.21 KB
(Last Modified on September 7, 2016)
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Notice of Possible Student Retention (Spanish)
noticeofpossiblestudentretentionspa.pdf
23.27 KB
(Last Modified on September 7, 2016)
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Notice of Student Retention (English)
noticeofstudentretentioneng.pdf
30.09 KB
(Last Modified on September 7, 2016)
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Notice of Student Retention (Spanish)
noticeofstudentretentionspa.pdf
32.37 KB
(Last Modified on September 7, 2016)
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Notice of Student Suspension (Bilingual)
noticeofstudentsuspensionbilingual.pdf
94.74 KB
(Last Modified on September 7, 2016)
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