Adopted: June 2007
Revised: October 2021
Download 602.6.2.5P - Report of Data Collection for Consideration of Single Subject Acceleration
Student's name _________________________________ Date of birth ____________ C.A._____________________________________________
yr/mth
School __________________________________ Grade______ Subject area _________________________________________
Name of parent(s)/guardian(s) ____________________________________________________________________________
Address_____________________________________________________ Phone _____________________________________________________________
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Achievement data:
MAP Scores:
Report Cards (for elementary students in subject being considered):
Data collection by:__________________________________________ Date:____________________________________________________________
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Cognitive Ability Test – Must have been completed within two years.
Name of test:
Date Administered:
Results:
Data collection completed by:_______________________________ Date:____________________________________________________________
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Procedure 602.6.2.5P
Page 2
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Critical Questions:
Yes No
A. Has the student been single subject accelerated previously?
B. Does the student want to be considered for single subject acceleration?____________________________________________________________ ____________________________________________________________
C. Will a sibling be in the same subject if the student is single
subject advanced?
D. Does the student currently have like-ability peers in their grade level
in the subject being considered for single subject acceleration?
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Report by classroom subject teacher:
Teacher:____________________________________________________ Date:____________________________________________________________
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District Placement Assessment Results:
Teacher:____________________________________________________ Date:____________________________________________________________
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c: case studies file