Series 602.6.2.2P - Referral Team Summary for Single Subject Acceleration
Adopted: June 2007
Revised: October 2021
To be completed by referral team:
Date of birth School Grade
Name of parent(s)/guardian(s)
1. Reason(s) why single subject acceleration is being considered.
2. What alternatives/interventions have been tried to meet the student's needs?
3. Standardized test data specific to subject being considered.
4. Other test data or pertinent information.
Date of referral meeting
Signature of referral team members
Please check one:
❏ Complete 602.6.2.3P, Permission for Single Subject Acceleration Consideration
❏ Complete 602.6.2.4P, Denial of Consideration for Single Subject Acceleration
Date Signature of principal
c: case studies file
c: student's cumulative folder