Extended Learning Program Referral Form
Please use this form to refer students that you believe could benefit from Gifted and Talented services. This form is also available in hard copy in both the Elementary and Secondary Offices as well as Mrs. Lathrop's ELP office, room number 205. Return hard copies to the Elementary office.

Formal identification begins in 3rd grade at Interstate 35 CSD. However, pk-12 referrals are accepted. Services and identification procedures are different pk-2, but referring the student puts them on the Extended Learning Program's radar.

Responses need to be submitted by 5/1/2018 so data is gathered in time for the ELP Committee to meet.

Email address *
"I understand that this referral creates a case study for the named student(s) below but does not guarantee that the student will receive services. I also understand that the Interstate 35 Extended Learning Program follows the identification policy as stated in their handbook to determine the individual students' eligibility for services." *
Name of student to be referred for potential services and current grade level: (example: Clark Kent, 4th Grade) *
Your answer
What is your relationship to the student? *
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