Social Studies Civic Engagement Diploma Seal Request
District *
Civic Engagement Diploma Seal Coordinator Mailing Information
First Name *
Last Name *
Street Address *
City *
Zip code *
Number of qualifying seniors *
We certify that the information contained in this application is accurate and complete to the best of our knowledge; that the necessary assurances of compliance with applicable state and federal statutes, rules, and regulations will be met; and, that the indicated school district is providing the necessary courses/opportunities as part of the curriculum; *
I have sent the list of qualifying seniors in the excel spreadsheet provided to *
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