Hudson PEP Permission to Test

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TO BE COMPLETED BY PARENT OR GUARDIAN

Email *

I give permission for my child to test for entry into Hudson PEP for the 2024-2025 school year. (Testers for first grade must be at least six (6) years of age by September 1, 2024).

Out of district applicants must pay a $65.00 testing fee. No test fee will be refunded if your child is not accepted or if parents decline placement. Payments are to be mailed or delivered to 1301 East Young Street, Longview, Texas, 75602.

Student's Last Name *

Student's First Name *

Phone Number *

Student's Address *

Student's Zip Code *

Does your child currently have residence in Longview ISD? *

Yes

Age *

Birthday *

YYYY

Gender *

Female

Male

Please check all that apply. *

Hispanic - Latino

American Indian - Alaska Native

Asian

Black - African American

Native Hawaiian - Pacific Islander

Two-or-More

White

Required

What is your child's current grade level for the 2023-2024 school year? *

Current School *

Current School Address *

Does your child participate in any of the special programs listed below? *

Special Education

ESL or Bilingual

Gifted and Talented

Section 504

None of the above

Required

Parent 1 (name) *

Cellular Number *

Parent 2 (name)

Cellular Number

Current E-mail *

By typing my name below: I understand that the test my child takes will not be available for review due to test confidentiality, but his/her overall performance score will be shared.

Parent/Guardian Signature *

Type your name below.

Send me a copy of my responses.

Submit

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