Parent Request for Gifted Evaluation

 Please print this form and return it to the school district.  Parents with a child attending public school should return it to their child's principal.  Parents of students attending a private school may send it to the Student Services Department at the address below.

SVSD Student Services Department

124 Seneca School Rd

Harmony PA 16037

Your Name: ____________________________________________
Your Street Address: _____________________________________
Your City and State: _____________________________________

Today's Date:  _________________

Student's Name: ___________________________________

 

To Whom it May Concrn:

I am writing to you to request that my child, ________________, be evaluated for giftedness.  I understand that you will send me a permission to evaluate document that will explain the tests that may be given to my child. Once you receive my written approval for the evaluation, I understand that you have 60 school days to complete the evaluation process.

Sincerely,

________________________________