east valley planned enrichment program · return all forms to your school or pep by friday, april...
TRANSCRIPT
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East Valley Planned Enrichment Program 3830 N. Sullivan Road, Building 1, Spokane Valley, WA 9921
Referral for Testing 2019-2020 Parent/Guardian Input (WAC 392-170-045, 047)
Dear Parent/Guardian,
Your child has been identified as a potential candidate for the East Valley Planned Enrichment Program (PEP). This is our district’s highly capable program. The program is housed at Otis Orchards Elementary. The coordinators/teachers are Heather Schultz and Nicole Sweet. To continue this process, we need your help in the following ways.
1. Please complete all 3 sides of the questionnaire. 2. Please fill out and sign the “Parent/Guardian Academic Field Trip Permission” form. 3. Return all forms to your school or PEP by Friday, April 26, 2019
(22000 E. Wellesley Otis Orchards, WA 99027) 4. Remove this page so you can refer to the TESTING information below.
If you have any questions or concerns, please feel free to contact us at 927-3228; [email protected];
or [email protected]. See the reverse side for more information about the PEP program.
TESTING INFORMATION DATE: Your child will attend BOTH days assigned to his/her grade level. 1st Graders – May 21 and May 22, 2019
2nd Graders – May 28 and May 29, 2019 3rd -8th Graders – June 4 and June 5, 2019 TRANSPORTATION: EVSD School Buses. The building secretary will help your child find the correct bus. The drivers will have a rider list. We will meet students at Otis Orchards Elementary. Please remind your child to wait INSIDE the building. All students will arrive back at their schools in time to take their regular transportation home. TIME: Your child will be picked up between 9 and 9:15 AM. The students will leave Otis at 2:45 PM. (CCS Students will leave Otis at 1:45 PM). LUNCH: Your child may bring a lunch from home or he/she may have hot lunch here at Otis. Their regular lunch numbers will work here at Otis. SNACKS AND WATER: Please have your child bring snacks and a water bottle each day. TEST: Your child will be taking the Cognitive Abilities Test. Different from classroom achievement tests that measure learning; this test is designed to measure innate ability on problems never seen before. It does not measure what they know; it measures how they use their reasoning abilities in new situations. NOTIFICATION: You will receive a letter from the PEP program during the second week of summer. The letter will simply state whether or not your child has been accepted into the program. If you would like to discuss the placement or findings in greater detail, please call (509) 927-3228 during the first 2 weeks of school.
See you soon! Heather Schultz and Nicole Sweet
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East Valley School District Planned Enrichment Program (PEP)
East Valley School District #361
Program housed at
OTIS ORCHARDS 22000 E. Wellesley
Otis Orchards, WA 99027 Phone: (509)927-3228
Program Facts Program Staff: Coordinator/Teacher: Heather T. Schultz Coordinator/Teacher: Nicole Thomas District Office Administrator: Lorri Reilly
Population Served: Children who live in the East Valley School District or attend East Valley Schools, and who meet the selection criteria participate in the PEP program. We service approximately 170 students which represents close to 5 % of our population in grades K-8.
Program Model: The 2nd – 6th grade Planned Enrichment Program is a pull-out model, where students are served one day per week.
Transportation: The students are transported using East Valley School District Transportation buses.
Program Goals: The goals of PEP include: 1.) To promote higher level thinking skills. 2.) To provide opportunities for differentiation equal to students’ abilities and potentials. 3.) To develop independent work habits. 4.) To encourage positive self-concepts. 5.) To develop responsibility and commitment for learning. 6.) To provide opportunities to interact with students’ intellectual peers.
Program Curriculum: The PEP curriculum includes: Critical thinking, problem solving, research, inquiry based activities, technology, creative thinking, service learning, cooperative learning, communication skills and special interest classes. Referral and Appeals Process Students are referred to the PEP Program by a teacher, parent, student or other interested individual. The parent and the classroom teacher fill out a questionnaire about the student. Classroom achievement is measured in both reading and math with classroom based assessments. After receiving permission, all students will be assessed using the Cognitive Abilities Test (CoGAT). This test is classified as an ability test and is different from group achievement tests. This information is placed on a scoring matrix and a recommendation regarding program enrollment is made. Following is the appeals process should you need to file an appeal at any time: Appeals regarding assessment, selection, retention, and placement will be made to the Assistant Superintendent or his/her designee. Prior to submitting an appeal, the parent/guardian and/or student should review the assessment results letter(s) with the teacher, counselor, or building administrator. This should occur within two weeks of receipt of the assessment results letter(s) or for spring assessments, within the first two weeks of school. The letter of appeal shall clearly outline the rationale for the action sought. The appeal letter should include the following information: supporting details for evidence of outstanding abilities of the student; inclusion of additional data, samples of work, or letters of recommendation from district staff. The Assistant Superintendent or his/her designee will review the appeal. The Assistant Superintendent will determine appropriate action from the following list: Continued denial for entry into program based on data presented; Request for further testing prior to a final decision; Request for further information and/or data prior to a final decision; Change of status to selected for participation in the program. If it becomes necessary, an exit form is available from the program coordinators to deny further highly capable services.
Schools Served in PEP
Continuous Curriculum School (CCS) K-8 East Farms Elementary Otis Orchards Elementary Trent Elementary Trentwood Elementary East Valley Middle School Home School Students Private School Students residing in East Valley
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The East Valley Planned Enrichment Program
Referral for Testing 2019-2020 Parent/Guardian Input (WAC 392-170-045, 047)
Please complete ALL 3 SIDES of this questionnaire.
STUDENT INFORMATION - PLEASE PRINT
Student Name:
Date of Birth: Age: Current Grade: Male Female
Parents’ Names:
Mailing Address Including ZIP:
Best Contact Phone Number:
Best Contact Email:
PERMISSION
I give my permission for my child to take the Cognitive Abilities Test (CogAT). I understand that the results will be
used as one part of the screening data for PEP selection.
Parent/Guardian Signature:
Date: ______________________
PLEASE RESPOND
1. Please describe your child’s academic needs.
2. Does your child have any specific areas of talent or exceptional ability?
3. How does your child like to spend his/her free time?
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"T
hin
gs M
y C
hil
d L
ikes
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You
r N
ame
____
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____
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You
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ame
____
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Chi
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Toda
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Seld
omSo
met
imes
Qui
teA
lmos
tor
Nev
erO
ften
*A
lway
s*E
xam
ples
Fro
m Y
our
Ow
n C
hild
's L
ife
1.M
y ch
ild
wil
l sp
end
mor
e ti
me
and
ener
gy t
han
his/
her
agem
ates
on
a to
pic
of h
is/h
er in
tere
st.
(For
exa
mpl
e: J
oan
is l
earn
ing
to s
ew a
nd s
pend
s ev
ery
free
min
ute
desi
gnin
gne
w d
ress
pat
tern
s an
d tr
ying
to s
ew th
em h
erse
lf.)
2.M
y ch
ild is
a "
self
-sta
rter
" w
ho w
orks
wel
l alo
ne, n
eedi
ngfe
w d
irec
tions
and
litt
le s
uper
visi
on.
(For
exa
mpl
e: A
fter
wat
chin
g a
film
abo
ut m
usic
al i
nstr
umen
ts, G
ary
bega
n to
mak
e hi
s ow
n gu
itar
from
mat
eria
ls h
e fo
und
arou
nd t
hega
rage
.)
3.M
y ch
ild s
ets
high
per
sona
l goa
ls a
nd e
xpec
ts to
see
res
ults
from
his
/her
wor
k. (
For e
xam
ple:
Mar
cy in
sist
ed o
n bu
ildin
ga
robo
t fr
om s
pare
mac
hine
par
ts e
ven
thou
gh s
he k
new
noth
ing
abou
t eng
ines
or
cons
truc
tion.
)
4.M
y ch
ild g
ets
so i
nvol
ved
with
a p
roje
ct t
hat
he/s
he g
ives
up o
ther
ple
asur
es i
n or
der
to w
ork
on i
t. (
For
exam
ple:
Don
is
wri
ting
a bo
ok a
bout
his
tow
n's
hist
ory
and
spen
dsea
ch n
ight
exa
min
ing
hist
oric
al r
ecor
ds a
nd d
ocum
ents
—ev
en w
hen
he k
now
s he
's m
issi
ng h
is f
avor
ite T
V s
how
.)
5.M
y ch
ild c
ontin
ues
to w
ork
on a
pro
ject
eve
n w
hen
face
dw
ith te
mpo
rary
def
eats
and
slow
resu
lts.
(For
exa
mpl
e: A
fter
build
ing
a m
odel
roc
ket,
Sally
con
tinue
d to
try
to la
unch
it,
desp
ite s
ever
al f
ailu
res
and
"cra
sh la
ndin
gs."
)
6.W
hile
wor
king
on
a pr
ojec
t (an
d w
hen
it's
fini
shed
) my
child
know
s w
hich
par
ts a
re g
ood
and
whi
ch p
arts
nee
dim
prov
emen
t. (
For
exam
ple:
Aft
er b
uild
ing
a sc
ale
mod
elof
a lu
nar c
ity, K
enny
real
ized
that
ther
e w
eren
't en
ough
sol
arco
llect
ors
to h
eat a
ll th
e ho
mes
he
had
built
.)
7.M
y ch
ild is
a "
doer
" w
ho b
egin
s a
proj
ect a
nd s
how
s fi
nish
edpr
oduc
ts o
f hi
s/he
r w
ork.
(F
or e
xam
ple :
M
a ry
bega
nw
orki
ng o
n a
pupp
et s
how
fou
r m
onth
s ag
o, a
nd h
as s
ince
built
a s
tage
and
pup
pets
and
has
wri
tten
a sc
ript
. To
mor
row
she'
s pr
esen
ting
her
play
to th
e PT
A!)
-
8.M
y ch
ild s
ugge
sts
imag
inat
ive
way
s of
doi
ng th
ings
, eve
n if
the
sugg
estio
ns a
re s
omet
imes
im
prac
tical
. (F
or e
xam
ple:
"If
you
real
ly w
ant
to c
lean
the
ref
rige
rato
r, w
hy d
on't
we
mov
e it
outs
ide
and
I'll
hose
it
dow
n— t
hat
will
def
rost
it,
too.
")
9.W
hen
my
child
tel
ls a
bout
som
ethi
ng t
hat
is v
ery
unus
ual,
he/s
he e
xpre
sses
him
/her
self
by
elab
orat
e ge
stur
es, p
ictu
res,
or w
ords
. (
For
exam
ple:
"T
he o
nly
way
I c
an s
how
you
how
the
balle
t dan
cer s
pun
arou
nd is
if I
stan
d on
my
tipto
eson
the
reco
rd p
laye
r an
d pu
t the
spe
ed u
p to
78.
")
10.
My
chil
d us
es c
omm
on m
ater
ials
in
way
s no
t ty
pica
lly
expe
cted
. (F
or e
xam
ple:
"I
'll b
ring
a d
eck
of c
ards
whe
nw
e go
cam
ping
. If
it
rain
s, w
e ca
n us
e th
em t
o st
art
a fi
rean
d if
it's
dry
, we
can
play
Go
Fis
h ar
ound
the
cam
pfir
e.")
11.
My
chil
d av
oids
typ
ical
way
s of
doi
ng t
hing
s, c
hoos
ing
inst
ead
to f
ind
new
way
s to
app
roac
h a
prob
lem
or
topi
c.(F
or e
xam
ple:
"I
had
tro
uble
mov
ing
this
box
to
the
othe
rsi
de o
f th
e ga
rage
so
I us
ed t
hese
fou
r br
oom
han
dles
as
rolle
rs a
nd ju
st p
ushe
d it
alon
g.")
12.
My
chil
d li
kes
to "
play
wit
h id
eas,
" of
ten
mak
ing
upsi
tuat
ions
whi
ch p
roba
bly
will
not
occ
ur.
(For
exa
mpl
e: "
Iw
onde
r wha
t wou
ld h
appe
n if
a s
cien
tist f
ound
a w
ay to
kill
all i
nsec
ts, t
hen
wen
t ahe
ad a
nd d
id it
.")
13.
My
child
oft
en f
inds
hum
or i
n si
tuat
ions
or
even
ts t
hat
are
not
obvi
ousl
y fu
nny
to m
ost
chil
dren
his
/her
age
. (
For
exam
ple:
"It
was
rea
lly f
unny
that
aft
er o
ur c
oach
sho
wed
us a
mov
ie o
n pl
aygr
ound
saf
ety,
he
spra
ined
his
ank
le w
hile
linin
g us
up
to g
o ba
ck to
cla
ss."
)
14.
My
child
pre
fers
wor
king
or p
layi
ng a
lone
rath
er th
an d
oing
som
ethi
ng "
just
to
go a
long
with
the
gan
g."
(For
exa
mpl
e:"I
alw
ays
mis
spel
l the
firs
t wor
d in
a s
pelli
ng b
ee; t
hen
I get
to s
it do
wn
and
do s
omet
hing
I li
ke."
)
"T
hin
gs M
y C
hil
d L
ikes
to
Do"
Seld
omSo
met
imes
Qui
teA
lmos
tor
Nev
erO
ften
*A
lway
s*E
xam
ples
Fro
m Y
our
Ow
n C
hild
's L
ife
*If
you
r ch
ild s
core
s in
eith
er o
f th
ese
two
colu
mns
, it w
ould
be
help
ful i
f yo
u w
ould
wri
te a
spe
cifi
c ex
ampl
e in
the
last
col
umn,
usi
ng th
e re
vers
e si
de o
f th
ispa
ge if
nec
essa
ry.
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East Valley School District 3830 N. Sullivan Road, Building 1
Spokane Valley, WA 99216
Phone (509)924-1830 Fax (509)927-9500
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Page 4 of 7 Elem/MS/HS Academic/Co-Curricular Field Trip Packet Updated 08.06.18
Parent/Guardian Academic
Field Trip Permission Form
Name of Student (Please Print) Name of Parent/Guardian (Please Print)
I, the undersigned parent of guardian of the above, named student, give my permission for my student to
participate in the instructional field trip described as follows:
Date of trip: Please See Cover Letter for Dates Destination: Otis Orchards Elementary PEP Classroom
Time of Departure: _ 9:00-9:15 a.m.________ Time of Return:K-6 Schools: 2:45 p.m. CCS: 1:45 p.m.
Purpose and activities: Highly Capable Program Testing
Means of Travel: EVSD Buses/Transportation
Medical Information and Release:
The following special health problems concerning my student should be noted. If none, please check
“None” below.
_____Seizure _____Allergy (specify below whether food, bee sting, etc.) Daily Medications
_____Asthma _____Diabetes
_____Other _____None
Describe condition noted above with details, including any medications or other instructions:
In the event of a medical emergency, I hereby authorize the staff attending to my student on the trip to
secure medical attention or hospitalization for my child.
My child’s physician is: at
Physician’s phone number
My phone numbers are: ; ;
Home Work Cellular
Alternative emergency contact:
Name Phone
I understand the school district does not provide medical insurance for my student for purposes of this
trip, and I am solely responsible for providing such insurance and for payment of any medical treatment
expenses for my student that are not covered by insurance.
I have read the above information, and agree to the above statements:
Parent/Guardian Signature Date Signed
Signed Original: Must be taken on field trip by supervising staff Copy: School Office
Field Trip Permission Form Only for PEP Testing PacketParent Cover Letter 2019PEP Application for TestingPEP Application for TestingPEP Packet Complete for WebsiteParent Cover Letter 2017PEP Flyer updated 3.2017parent page 2 2017parent page 3,4
Bus Form
PEP Flyer updated 3.2019