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SPRING 2018 APPEALS REQUEST FOR CogAT TESTING FOR GIFTED SERVICES Student First Name Student Last Name ID # School 2017-2018 Grade Name of Person Completing the Form Relationship to the Student Parent/Guardian Self Other Please provide a rationale explaining why the student should be reconsidered for CogAT testing for gifted and talented identification. As an option, you may also submit one artifact that represents the student’s academic ability to aid the committee in its process. Appropriate artifacts to support the rationale may include but are not limited to documentation of outside work, an award/recognition from an outside activity, or a letter of support from a coach or activity leader. The Appeals Committee will consider this information as it reviews additional data, which may include classroom performance and other historical data from assessments. As signified by my signature or typed name below, I certify that the information provided accurately represents the student and that I will honor the decision of the Appeals Committee. Signature Date Please return the Appeals Request and optional artifact via email to Gifted and Talented Services, [email protected], or by mail to Learning Services, Attn: Appeals Committee, 203 W. Hillside Road, Naperville, IL 60540. Grade 3 and Grade 5 Appeals Requests for CogAT testing must be received no later than February 5, 2018. Grade 6 and Grade 7 Appeals Requests for CogAT testing must be received no later than January 29, 2018. The service for which the appeal is requested Honors Math Project IDEA Project IDEA+ Email Address

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Page 1: SPRING 2018 APPEALS REQUEST FOR CogAT TESTING … · SPRING 2018 APPEALS REQUEST FOR CogAT TESTING FOR GIFTED SERVICES . Student First Name Student Last Name ID # School 2017-2018

SPRING 2018 APPEALS REQUEST FOR CogAT TESTING FOR GIFTED SERVICES

Student First Name Student Last Name

ID # School 2017-2018 Grade

Name of Person Completing the Form

Relationship to the Student ☐ Parent/Guardian ☐ Self ☐ Other

Please provide a rationale explaining why the student should be reconsidered for CogAT testing for gifted and talented identification. As an option, you may also submit one artifact that represents the student’s academic ability to aid the committee in its process. Appropriate artifacts to support the rationale may include but are not limited to documentation of outside work, an award/recognition from an outside activity, or a letter of support from a coach or activity leader.

The Appeals Committee will consider this information as it reviews additional data, which may include classroom performance and other historical data from assessments.

As signified by my signature or typed name below, I certify that the information provided accurately represents the student and that I will honor the decision of the Appeals Committee.

Signature Date

Please return the Appeals Request and optional artifact via email to Gifted and Talented Services, [email protected],

or by mail to Learning Services, Attn: Appeals Committee, 203 W. Hillside Road, Naperville, IL 60540.

Grade 3 and Grade 5 Appeals Requests for CogAT testing must be received no later than February 5, 2018. Grade 6 and Grade 7 Appeals Requests for CogAT testing must be received no later than January 29, 2018.

The service for which the appeal is requested ☐ Honors Math ☐ Project IDEA ☐ Project IDEA+

Email Address

Page 2: SPRING 2018 APPEALS REQUEST FOR CogAT TESTING … · SPRING 2018 APPEALS REQUEST FOR CogAT TESTING FOR GIFTED SERVICES . Student First Name Student Last Name ID # School 2017-2018