Extension Enrichment Assessment Request
Filling out this form formally requests that Agape assesses your child for eligibility to participate in the Extension Enrichment for the 2024-2025 school year. Please see below flyer for more information regarding the enrichment and eligibility requirements. You must fill out this form by MAY 1ST for your child to be assessed for the 2024-2025 school year.
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Extension Enrichment Information
Student Name
Student Grade (as of AUGUST 2024)
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Homeroom Teacher (as of THIS school year)
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Could your child be described by all or most of the eligibility characteristics as described on the above flyer?
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