April 27, 2019: Gifted Testing Consent & Registration Form / 27 de Abril de 2019: Formulario de consentimiento e inscripción en el examen para el programa de estudiantes talentosos
You are registering for the April 27, 2019 test date at Thurgood Marshall School beginning at 9am. Doors open at 8:15am to check-in. This test is for students currently in grades K through 10th grade.

Usted se está inscribiendo en el examen del 9 de Febrero en Thurgood Marshall School que comienza a las 9 a.m. Se abrirán las puertas a las 8:15am para registrarse. Este examen es por cualquier estudiante que esta en los grados del K al 10th.

Email address *
Student ID# / # ID
If your student is currently enrolled in the Rockford Public Schools, enter their SIS number. / Si su estudiante está inscrito actualmente en las Escuelas Públicas de Rockford, entre su número de SIS.
Your answer
Current School / Escuela actual *
Indicate the school in which your child is currently enrolled. / Indique el escuela en el que actualmente está inscrito su niño.
Your answer
Current Grade for 2018-2019 SY / Grado actual *
Indicate the grade in which your child is currently enrolled. Indique el grado en el que actualmente está inscrito su niño. *Some course sequences might not be available if a student enters the gifted academy after 9th grade.*
Student's Date of Birth / Fecha de nacimiento del estudiante *
MM
/
DD
/
YYYY
Gender/ Sexo *
Student's First Name / Nombre del estudiante *
Please use legal name of child. Por favor use el nombre legal del niño.
Your answer
Student's Last Name/ Apellido del estudiante *
Please use legal name of child. Por favor use el nombre legal del niño.
Your answer
Race/ Raza *
Required
Language Spoken in the Home/ Idioma que se habla en el hogar *
Your answer
Parent/Guardian Name (First & Last)/ Nombre del padre, madre o tutor (nombre y apellido) *
Your answer
Street Address/ Domicilio *
Your answer
City/ Ciudad *
Your answer
Zip Code/ Código Postal *
Your answer
Phone Number/ Número de teléfono *
Your answer
Does your child qualify for a testing accommodation as the result of a 504b plan or IEP? Accommodations will be made according to the IEP/504 plan./¿Es su niño elegible para alguna facilidad durante los exámenes como resultado de un plan 504b o IEP? *
A student is only permitted to test for the Gifted Academy once per school year. Has your student tested on December 1st or February 9th of the current school year? *
Parent/Guardian Electronic Signature (initial below)/ Firma electronico de padre o tutor. *
I give consent for my child to be tested for the RPS Centralized Gifted Program. I understand that the scores from this testing may be shared with public school personnel and that gifted program staff might obtain data regarding my child's achievement levels and approach to academic tasks from his/her school.
Your answer
A copy of your responses will be emailed to the address you provided.
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