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OMB Number 1810-0021 Expiration Date 03/31/2010 U.S. DEPARTMENT OF EDUCATION OFFICE OF INDIAN EDUCATION WASHINGTON DC 20202 TITLE VII STUDENT ELIGIBILITY CERTIFICATION Elementary and Secondary Education Act Title VII Part A Subpart 1 Parents Please return this completed form to your child s school. In order to apply for a formula grant under the Indian Education Program your child s school must determine the number of Indian children enrolled. An.

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