Highly Capable Online Application
Highly Capable Online Application
 
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Form: Highly Capable Request for Testing online application
User: User, Guest
Status: Draft
 
Application for Highly Capable

This online application is the first step in consideration for the Highly Capable program.  
The program encompasses all K-12 students.  

Please see the Instruction and Learning Highly Capable calendar for deadlines on application submittal.  


The permission for testing form (bottom of this application) must be completed and returned for consideration.

 
 
 
(required) 1. Date: MM/DD/YY
 
 
(required) 2. Student's Last Name
 
 
(required) 3. Student's First Name
 
 
(required) 4. Current School
 
 
(required) 5. Current Grade Level
 
 
(required) 6. Current Teacher (for elementary age students)
 
 
7. Language Spoken at Home?
 
 
(required) 8. Date of Birth MM/DD/YY
 
 
(required) 9. Gender
 
 
10. Ethnicity
Hispanic/Latino of any race
American Indian/Alaska Native
Asian
Native Hawaiian/Other Pacific Islander
White
Black or African American
Not Provided
Two or More
 
 
(required) 11. Parent or Guardian Name
 
 
(required) 12. Street address
 
 
(required) 13. City, State
 
 
(required) 14. Zip code
 
 
15.

Guardian email address

 
 
(required) 16.

Phone

 
 
17. Are there any factors which may affect your child's ability to take tests?  If yes, please explain.  Please list any life threatening allergies or medical conditions.
 
 
(required) 18. Does your child need special testing acommodations as specified in a 504 or IEP?
Yes
No
 
 
(required) 19. Has your child been tested for a highly capable program in the past year?
Yes
No
 
 
Highly Capable Permission for Testing
Please print out attached permission for testing.  Once completed, please either scan or email form to zimmerka@puyallup.k12.wa.us.  You may also mail to:
Puyallup School District - Highly Capable
302 2nd St SE
Puyallup, WA 98372

Please call 253-841-8646 with any questions

We will not be able to consider your child for testing until this form has been received.
Permission for Testing.pdf


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