A
student who is
transferring
from an in-state nonpublic school or a home schooling program or a *
Louisiana
resident who is transferring from an out-of-state school to enroll in
the
Louisiana public school system at grades 5 or 9 shall be required to
take
the 4th or 8th grade LEAP English Language Arts AND Mathematics
tests.
Required achievement levels:
Students will be tested at the grade-appropriate school within their
district.
INDICATE NAME OF DISTRICT GRADE-APPROPRIATE
SCHOOL:____________________________________________
TEST TO BE TAKEN: Check one.
LEAP /GEE : Grade 4____
Grade 8 ____ Grade 10____
iLEAP(not administered in summer): Grade
3____ Grade
5____
Grade 6____ Grade 7____ Grade 9
____
CHECK SPECIAL NEEDS:
Special
Education_____
504______
LEP_____
Note: A copy of IEP or 504
Accommodations MUST be attached. (NO EXCEPTIONS!)
CHECK PRESENT SCHOOL:
Nonpublic
School____ Name of Nonpublic
School:______________________________________________
Home Schooling____
*Louisiana
Resident Transferring From Out-Of-State School____
Student's (Legal) Name:_______________________________________________________________________________
Address:______________________________________________________________________________________
City/State/Zip:_________________________________________________________________________________
Telephone Number:_____________________________________________________________________________
Student's Social Security Number:_________________________Birth Date:___________________________________
NOTE: SOCIAL SECURITY NUMBERS
ARE USED AS
TESTING
IDENTIFICATION NUMBERS ONLY!
ALL STUDENTS' SOCIAL SECURITY
NUMBERS
ARE KEPT CONFIDENTIAL!
(If your child attends a nonpublic school that has
chosen to register the students through the school, the scores will be
released to the school unless the District Test Coordinator is notified
by the parent in writing to NOT release the scores to the school.)
*A Louisiana resident transferring from any
out-of-state school is
defined as a student who lives in Louisiana but attends school in an
adjacent state.
Return all forms to the
attention
of: Paulette Walkwitz, 59656 Puleston Road, Amite,
Louisiana
70422.
FORMS CAN BE FAXED TO 748-2455.