Ephrata School District Highly Capable Program Nomination Form

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We value your input and will carefully review your recommendation. Completed forms should be submitted by December 17, 2020. The nomination window for students to be referred for 2021 is December 3-17, 2020.

Name of Person Completing Referral (your first and last name)

Student Last Name

Student First Name

School Student Attends

Current Grade Level

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