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; schultzh@evsd.org;

or sweetn@evsd.org. 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

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

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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hin

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ame

____

____

____

____

____

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____

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___

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r C

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ame

____

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Chi

ld's

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choo

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Toda

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teA

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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.

East Valley School District 3830 N. Sullivan Road, Building 1

Spokane Valley, WA 99216

Phone (509)924-1830 Fax (509)927-9500

_____________________________________________________________________________________

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