Referral for Gifted Assessment for Gifted Identification
Lakewood City Schools provides whole grade screening for gifted identification in grades 2 and 5. Services for students identified as gifted begin in third grade. Lakewood provides a continuum of services for students in grades 3-12.

If you would like to refer a student for additional assessment, please complete and submit this form. The Coordinator of Gifted Services will follow up after the referral is received.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child Date of Birth (mm/dd/yyyy) *
Your answer
Current Grade
Your answer
Current Building
Gender *
Referred by *
Required
Custodial Parent/Guardian (First and Last) *
Your answer
Street Address *
Your answer
Phone Number *
Your answer
Phone Number *
Your answer
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