PLACEMENT TEST REQUEST FORM


TO:                       PAULETTE CEFALU-WALKWITZ
      
                             FAX:  985-748-2455

FROM:                 ________________________________________

RE:                        PLACEMENT TEST

SCHOOL:________________________________________________________________________

PRINCIPAL:______________________________________________________________________

NAMES OF STUDENT(S):_____________________________________________________________
                                          _____________________________________________________________
                                          _____________________________________________________________
                                           _____________________________________________________________
Please check correct grade:

                            _______GRADE 4                                   _______GRADE 8