Adopted: September 1980
Revised: August 2026
Download 602.6.1.3P - Permission for Grade Consideration
Date:
Dear Family of: ____________________________
The referral team has reviewed the request for grade acceleration for your child, ______________________________ . That review has resulted in a recommendation to complete additional evaluations to determine if your child’s needs can be met in the current placement through program changes or modifications and to obtain further information relevant to acceleration. We need your written permission to proceed with the data collection process.
Please indicate your permission to proceed with the assessment by signing and returning this form to ________________________ at ______________________.
____ Yes, I give permission for the school to proceed with the consideration of the grade acceleration process.
____ No, I do not give the school permission to proceed with the consideration of the grade acceleration process.
Student Name: ______________________________________________
Student Grade: ______________________________________________
Guardian Name/Signature: _____________________________________
Date: _______
Date Received by the District Office: _________