Fillable APPLICATION COVER SHEET Model Continuation High School Recognition (California)

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APPLICATION COVER SHEET Model Continuation High School Recognition (California)

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Attachment A
Page 1 of 1
APPLICATION COVER SHEET
Model Continuation High School Recognition Program
Program Year: 2021–22
Applicant’s Information
County: District:
School:
County-District-School (CDS) Code:
California Continuation Education
Association Plus (CCEA Plus) Region Number:
Phone: Fax:
Address: City: Zip:
Mailing Address: City: Zip:
Principal’s Name: Email:
Certification: I have read this application and certify that to the best of my knowledge, the
information contained in this application is correct and complete.
Signature of Principal (Type name above to sign) Date
The 14-digit CDS code is the official, unique identification of a school within California. You can
find your school’s CDS code on the California Department of Education California School
Directory web page at https://www.cde.ca.gov/schooldirectory/.
The CCEA Plus Region number can be found on the CCEA Plus Regions web page at
https://cceanet.org/about-us/regions/.
California Department of Education April 2021
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APPLICATION COVER SHEET Model Continuation High School Recognition (California)

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Completed 12 September 2021

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