Highly Capable Parent Referral Form
This form is designed for students that reside within the Lynden School District and students that are registered with the District.  If your student resides outside of the Lynden School District, or is not currently registered with the District, please contact the Hi Cap Office at 360.354.4291 x 6126. The form must be submitted by Feb 5th, 2021 to ensure your student will be scheduled for the fall testing window.
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Student's Last Name
Student's First Name
Middle Initial
Street Address
City
Zip
Contact Phone
Alternate Contact Phone
Please check any services your student is currently receiving. Please list their case manager in the other field.
Current School
Current Grade
Provide any testing accommodations your student may need. We will gladly meet the needs of all students will an I.E.P. or 504 plan on file with the district.
Has your student tested for the Lynden School District's Highly Capable program in the last 12 Months? If "Yes" provide the date below:
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If applicable, Provide Date of test
MM
/
DD
/
YYYY
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