ABCDEFGHIJKNOPQRSTUVWXYZ
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Agricultural Education
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Job Placement
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Record Book
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for
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(business name or type of business where placed)
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Name Ag - Ed Program Area
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Address
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(Street, Number, Route or Box)(City and State) (Zip)
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SchoolDanville High SchoolCountyHendricksDistrict8
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Address100 Warrior WayDanville, IN 46122
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(Street, Number, Route or Box)(City and State) (Zip)
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CHECK (X) ONE BOX BELOW
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FreshmanSophomoreJuniorSeniorGrad 1Grad 2 Grad 3
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Year in School (Check one box)
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School Year (2000)2025-2026
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CHECK (X) ONE BOX BELOW
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1st2nd3rd4thGrad 1Grad 2 Grad 3
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Year in Ag - Ed (Check one box)
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Date of Job PlacementFromtoDecember 31,
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Month/Day(1/1)Year(2003)Month/Day(12/31)Year(2003)
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Records Approved by
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(Signature of Teacher) (Date)
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Evaluation
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