Gifted Selection Appeals Form

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Gifted Selection Appeals Form

Please complete this form to appeal the decision made concerning your student's acceptance in Springfield District 186 Gifted Program.

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* Indicates required question

Email *

Your email

Name of Student (First and Last) *

Your answer

Name of School student attends *

Your answer

Name of Parent/Guardian Contact *

Your answer

Address of Parent/Guardian Contact *

Your answer

Phone Number of Parent/Guardian Contact *

Your answer

Student Grade(s) - Check all that apply - Current Grade Level *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Name of Current Teacher *

Your answer

Send me a copy of my responses.

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