Huntington Beach City School District Gifted and Talented Education (GATE) Assessment Consent Form 2018-19
In accordance with Board Policy, the Huntington Beach City School District continually seeks to develop the special abilities and talents of each pupil. In order to achieve this goal, instructional programs are designed to meet the special needs of students as appropriate. The GATE program is one such intervention. GATE services involve grouping students of similar ability in order to involve them in an educational experience that is challenging and appropriate to their needs and achievement levels.

Eligibility for GATE services is based on several measures, combined to provide a full profile of students who may most benefit from participation in an accelerated program that extends and enriches the core curriculum, while stimulating thinking skills at an advanced cognitive level. Students are allowed two opportunities in the Huntington Beach City School District between grades 1-7 to be assessed for the GATE program.

The measures and criteria established for GATE identification are displayed on our GATE Identification Criteria document provided by the link below. We encourage you to take a moment to review this document.

https://4.files.edl.io/1d50/10/10/18/173038-d30a07fe-e4c0-44d1-bc33-9634ae4093d4.pdf

Email address *
By completing and submitting this form with my typed signature below, I give permission for my child to be assessed to determine identification for the GATE program.
Student Last Name *
Your answer
Student First Name *
Your answer
Student's Birthdate *
MM
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DD
/
YYYY
Grade *
School *
If you checked "OTHER" for school name, please type student's school name here
Your answer
Current Teacher's Last Name Only
(If middle school, please provide last name of CORE teacher)
Your answer
Parent Last Name *
Your answer
Parent First Name *
Your answer
Residence Address (or mailing address if different from residence) *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent's Preferred Email For GATE Communications *
Your answer
Parent/Guardian Consent to Assess Student *
Parent/Guardian Signature (Your typed signature here indicates your consent to assess your student for our GATE Program)
Your answer
A copy of your responses will be emailed to the address you provided.
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