Adopted: March 1989
Revised: March 2024
Download 501.2.2P - Request for Consideration for Early Entrance to Kindergarten
Independent School District 196 parents or guardians may request consideration for their child’s early entrance to kindergarten if the child will turn five years of age September 2 – October 31.
Complete and return this form to the Director of Elementary Education between January 1 and May 31 of the year you want your child to start kindergarten. Include a copy of the child’s birth certificate or other documentation of age and legal name and the non-refundable $200 fee*. The parent or guardian will be contacted to schedule an evaluation to be conducted in June to assess whether the child is ready to begin kindergarten one year early. The child must score at or above the 95th percentile on the psychological evaluation and possess other attributes of kindergarten readiness in order to be considered for early entrance. *Need-based scholarships may be available.
Child’s name M or F Birthdate
please print first last circle one month/day/year
Name of parent or guardian
Phone numbers
home work cell
Address
City ______________________________________ Zip _________ Email ___________________________
District 196 elementary school attendance area
In order to be granted early entrance to kindergarten, a child must demonstrate significantly above average intellectual abilities in addition to having other attributes of kindergarten readiness. Please describe how your child displays significantly high intellectual abilities in comparison to others their age?
- A copy of my child’s birth certificate or other documentation of age and legal name is enclosed.
- The $200 non-refundable assessment fee (payable to Independent School District 196) is enclosed.
- I request a need-based scholarship. I have applied and qualify for educational benefits. Note: Contact the Department of Elementary Education or Nutrition Services with questions about how to apply for educational benefits
I consent to a psychological evaluation of my child to determine his or her readiness to enter kindergarten early.
X___________________________
Signature of parent or guardian
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Return to: Director of Elementary Education Independent School District 196 3455 153rd St. West Rosemount, MN 55068 |
For department use only: o Verification of birthdate: birth certificate o $200 fee received o Application(s) received
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