INDEPENDENT SCHOOL DISTRICT 196
Rosemount-Apple Valley-Eagan Public Schools
Educating our students to reach their full potential
Series Number
Title
604.4.1.3.4P Adopted November 1986 Revised January 2013
Staffing Summary for Middle School Student Participation in High
School Junior Varsity or Varsity Athletic Activities—Gifted Athlete
Student
Student #
School
Grade
A.
Date
Summary of Teacher Comments
1. Academic:
2. Behavior (in class):
3. Social (relationship to peers):
B.
Special concerns expressed by teachers and psychologist, which may interfere
with this student’s movement to the junior varsity or varsity level of competition.
(If none, answer none.)
C.
Present at staffing:
Title
Procedures/604.4.1.3.4P/1-4-13
Name