Parent Referral W/Consent to Test for Gifted Eligibility

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Dear Parent/Guardian,

Thank you for interest in your child's assessment for gifted eligibility. If your child did not receive a "First Look" battery of gifted eligibility testing last school year, you may request referral for eligibility testing this school year. Please fill out each requested field below and submit by September 30. Be sure your child's name and student number match what is on file in the Atlanta Public Schools student information system (no nicknames please). Your child will also need to score at the 80th percentile or higher on any district-administered MAP Growth Reading or Math test given during fall semester to be referred (two MAP Growth test administrations are given through December).

First Look gifted eligibility student assessments will be administered during a February-March time frame. Please contact your local school or see the school's website if you need further information on the gifted eligibility testing timeline.

You will be notified of eligibility results when the assessment process is complete in May.

Email *

Your Child's Last Name *

Your Child's Official First Name *

Your child's 7-digit APS "Student Number" (It can be found on your student's report card, transcript, or the parent portal. Also, it is often used for the school lunch account number.) *

Your Child's Date of Birth *

YYYY

Your Child's School *

Your Child's Current Grade in School *

All gifted assessments will take place in person at the local school. *

I understand that my child will be assessed in person at the local school.

I decline testing at this time.

CONSENT - In order for evaluation to be conducted, you must provide electronically signed consent below. Please indicate your decision, electronically sign, add mailing address, date, and "submit" this form. Please contact your local school with any additional questions about the assessment process. You will be notified of the results in writing as soon as a gifted eligibility decision is made by the local school Gifted Eligibility Team in May. *

I give permission for my child to be evaluated by Atlanta Public Schools personnel.

I do not give permission for my child to be evaluated by Atlanta Public Schools personnel.

Parent Filling Out This Request, Type Full Name Please: First then Last Name *

Parent Email Address *

Parent Home Mailing Address: Street Number and Street Name ONLY *

Parent Home Address: City, State, and Zip Code ONLY *

Date of Form Completion *

YYYY

A copy of your responses will be emailed to the address you provided.

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