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| Adobe Acrobat® Reader version 4.0 or higher.  This application can be completed interactively in the
sections highlighted in yellow. Use the tab key to move from field to
field. Upon completion, please print your completed application and forward
all requested material to:
Lisa A. Banicky, Ph.D., Research Specialist Department of Research, Evaluation, and Assessment Virginia Beach City Public Schools P.O. Box 6038 Virginia Beach, Virginia 23456-0038 Email: labanick@vbschools.com (757) 263-1199
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Last Modified on
November 2, 2007
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