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CVSD Highly Capable Program (HCP) Teacher/Parent Referral Form -
Fall 2026
Elementary Student referral for HIGHLY CAPABLE PROGRAM within the Central Valley School District
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* Indicates required question
Email
*
Your email
STUDENT'S Last Name
*
Your answer
STUDENT'S First Name
*
Your answer
Student ID #
If your student is enrolled in a private school enter this info -
Private School Student.
Your answer
STUDENT'S Birthdate (MO/DY/YEAR)
*
MM
/
DD
/
YYYY
CURRENT Grade Level
Fall 2026
*
Kindergarten
Grade 2
Grade 1
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
School
*
Choose
Adams Elem
Broadway Elem
Chester Elem
Greenacres Elem
Liberty Creek Elem
Liberty Lake Elem
McDonald Elem
Opportunity Elem
Ponderosa Elem
Progress Elem
Riverbend Elem
South Pines Elem
Summit School
Sunrise Elem
VIP
University Elem
Homeschool/Private School (If in a private school, please enter the name of school on the next line.)
Bowdish Middle
Evergreen Middle
Greenacres Middle
Horizon Middle
North Pines Middle
Selkirk Middle
CVHS
RHS
SVT
UHS
Private School Name
(
if your student is enrolled in a Private School
)
Your answer
Relationship to Student
*
Parent/Guardian
Teacher/Other CVSD Staff
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