Freeman School District Highly Capable Parent Nomination Form
Nominations may be submitted by school staff, parent/ guardians, and/or community members. This form is for parents/ guardians. School Staff and community members should contact the school principal or district Highly Capable Coordinator, Stacey Rawson at srawson@freemansd.org 
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Email *
Student First Name *
Student Last Name *
Current Grade Level *
Student Birthdate *
MM
/
DD
/
YYYY
Parent Guardian Name(s) *
Parent/ Guardian Address *
Parent/ Guardian City, State and Zip Code *
Parent/ Guardian E-mail address *
Parent/ Guardian Phone Number *
I give permission for my child to be screened in order to determine eligibility and/ or possible placement in the Freeman School District Highly Capable Program. I understand that I will be contacted concerning the results of this testing and that this evaluation may not result in my student's placement in the program. 

If you agree please type your name below as an electronic signature for this consent.
 *
Highly Capable Programming
For a full description of procedures for identification and entry into the highly capable program at Freeman School District, please see Freeman School District Procedure No. 2190P on our website www.freemansd.org. If you have further questions, please contact your building principal or the FSD Highly Capable Coordinator, Stacey Rawson at srawson@freemansd.org
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