RENAISSANCE GIFTED & MUSIC ACADEMY APPLICATION GRADES 1-8 HIGHLAND LAKES SCHOOL 2013-2014
www.renaissance.dvusd.org
DVUSD Gifted Services Department Attn: Renaissance Academy 20402 N. 15th Ave. Phoenix, AZ 85027 Phone: 623-445-5000 Application Deadline Application and required attachments must be complete and received by April 26, 2013 to be considered for placement.
(PLEASE PRINT) Student Name:
Grade for 2013-2014
Parent Name(s): Current Address: Street
City
ZIP Code Student ID #:
Parent Email Address: Home Phone:
Parent Cell/Work Phone:
Do you live within DVUSD boundaries? School Currently Attending: If out of district: School phone number:
YES
NO
(Circle One) Current Grade:
Contact:
If you have specific questions about the application process please visit our Renaissance Academy website (www.renaissance.dvusd.org) Additional information can be found in the DVUSD Gifted Services Handbook (http://mbcurl.me/2A1Q) Kim Lanese DVUSD Gifted Services Specialist Kim.lanese@dvusd.org Please attach the following items to this application and return to: DVUSD Gifted Services Department 20402 N. 15th Ave. Phoenix, AZ 85027 Attention: Renaissance Academy Or email electronic copies to Kim Lanese at kim.lanese@dvusd.org Items 1-6 must be submitted together as a complete application. We will add item 7 to the application when received from the teachers. • A copy of your child’s most recent intellectual assessment results* • Cognitive Abilities Test (CogAT) or other state of Arizona approved assessment • IQ tests administered by a licensed Psychologist/Psychiatrist • A copy of your child’s most recent standardized test scores (i.e. AIMS, SAT 10, DIBELS, DRA) • A copy of your child’s most recent report card • Students receiving special education or 504 services must attach • Copy of current IEP and most current special education evaluation report • Copy of 504 plan • Open Enrollment paperwork, if not currently living in Highland Lakes boundaries • Completed Parent Gifted Characteristics profile • Provide Gifted Characteristics profiles to two of your child’s current or prior teachers** •
Teacher name
___ Phone or email ___________________
•
Teacher name
___ Phone or email ___________________ *Applications will not be accepted without completed intellectual assessment results **Profiles are to be completed by teachers and submitted directly to DVUSD Gifted Services
Qualifying Criteria for Grade 1 •
Intellectual
•
•
th • CogAT- Student must score at the 97th percentile or above on at least two of the subtests and a minimum of 90 percentile on the third subtest. • IQ- 140 or higher (reviewed by DVUSD Forensic Psychologist) • Other state approved test results will be reviewed by the DVUSD Forensic Psychologist to determine eligibility Achievement • Two years above grade level on DIBELS and/or DRA assessments • Foundational skills assessments in reading, writing, and math to be completed at the district by appointment. Contact Kim Lanese at kim.lanese@dvusd.org Two Gifted Learner Characteristics Profiles completed by current or prior teachers.
•
Intellectual
Qualifying Criteria for Grades 2-8 • •
CogAT- Student must score at the 97th percentile or above on at least two of the subtests and a minimum of 90 IQ- 140 or higher (reviewed by DVUSD Forensic Psychologist)
th
percentile on the third subtest.
•
•
• Other state approved test results will be reviewed by the DVUSD Forensic Psychologist to determine eligibility Achievement • Exceeds on Reading and Math AIMS (grades 4-8) • Two years above grade level on DIBELS or DRA assessments (grades 2-3) Two Gifted Learner Characteristics Profiles completed by current or prior teachers.