Adopted: June 2007
Revised: August 2026
Download 602.6.2.5P - Report of Data Collection for Consideration of Single Subject Acceleration
Student's Name _________________________________ Date of Birth _____________ C.A.__________
School ________________________________ Grade_______ Subject Area _________________________
Name of Parent(s)/Guardian(s) ___________________________________________________________
Address_________________________________________________ Phone __
Achievement data:
Screener Scores:
Report Cards (for elementary students in subject being considered):
Data collection by:________________________________________ Date:__________________
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Name of test: _________________________________________________
Date Administered: _________________________________________________
Results:
Data collection completed by:________________________________ Date:__________________
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Critical Questions:
| Critical Questions | Yes | No |
| A. Has the student been subject accelerated previously? | ||
| B. Does the student want to be considered for subject acceleration? | ||
| C. Will a sibling be in the same subject if the student is subject advanced? | ||
| D. Does the student currently have like-ability peers in their grade level in the same subject being considered for subject acceleration? |
Report by classroom subject teacher:
Teacher:________________________________________________ Date:__________________
District Placement Assessment Results:
Teacher:________________________________________________ Date:__________________
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c: case studies file
Procedures/602.6.2.5P/08-2026