Registration for Academically Independent (AI) Program Placement Consideration 2020-2021
Registration for placement consideration in the Academically Independent (AI) Program for the 2020-2021 school year is only available to students currently enrolled and attending grades 1 through 4 in the BRRSD. Online registration closes Monday, November 11, 2019. LATE REGISTRATION WILL NOT BE CONSIDERED.

Students currently enrolled in the AI program do not need to re-register for program continuance.

Any questions regarding this form or the AI Program can be addressed by the Office of Special Programs at 908-685-2777 X3252 or via e-mail to wminolfo@brrsd.k12.nj.us

The administration of CogAT is as follows:
Current Grade 1 Students: Form 7/Level 8
Current Grade 2 Students: Form 7/Level 9
Current Grade 3 Students: Form 7/Level 10
Current Grade 4 Students: Form 7/Level 11
Student's Last Name: *
Your answer
Student's First Name: *
Your answer
Student's Current Grade Level: *
Name of School Student Currently Attends: *
Last Name(s) of Current Classroom Teacher(s): *
Your answer
Register for placement consideration in the Academically Independent Program for the 2020-2021 School Year: *
Current Grade 4 Students Only. I understand that as part of the AI Program placement consideration process, my child will automatically be considered for Grade 5 E Program placement in Mathematics and English Language Arts.
Current Grade 4 Students Only. I understand that I do not need to complete a separate online registration for the E Program if my child is currently in grade 4, and I have completed this AI Program placement consideration form.
Parent/Guardian's Last Name: *
Your answer
Parent/Guardian's First Name: *
Your answer
Parent/Guardian's Telephone Number: (This # will also be used for emergency contact during CogAT administration.) *
Your answer
Parent/Guardian's E-Mail Address: *
Your answer
Additional Contact Name: (optional)
Your answer
Additional Contact Telephone Number: (optional)
Your answer
Additional Contact E-Mail Address: (optional)
Your answer
Please indicate if your child needs to be in an Allergy Safe room for CogAT testing due to a specific food allergy. *
If you answered YES regarding Allergy Safe room, please indicate the specific food allergy.
Your answer
By submitting this form, I confirm that my child is currently enrolled and attending school in the BRRSD. I grant permission for my child to be administered the appropriate tests related to consideration for placement in the AI Program. *
By submitting this form, I understand that my child has been automatically registered to attend/participate in CogAT testing to be held at Eisenhower Intermediate School on Saturday, December 7, 2019. Details regarding CogAT testing will follow at a later date. *
Please note: A confirmation e-mail of your registration submission will not automatically be sent by the system. For proof of registration, please retain a copy of the page that appears after submitting the form.
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