MANIFESTATION DETERMINATION WORKSHEET (optional) 1 …
Worksheet 4 (Page 2 of 2) Student: Student Name Birth Date: 00 / 00 / 2000 Date: 00 / 00 / 2000 ... YES NO. 2. Based on the above factors, did the conduct in question have a direct or substantial relationship. to the child’s disability? YES NO 3. Was the conduct in question the direct result of the school district’s failure to implement the ... ................
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