TANGIPAHOA PARISH SCHOOL SYSTEM ITBS, LEAP/GEE, and iLEAP TESTS REGISTRATION FORM - SPRING 2012 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: LEAP - 4th and 8th Grades- A minimal of BASIC on ELA or Math and APPROACHING BASIC on the other. (SUBJECT TO CHANGE BY SDE) All nonpublic school students and any Louisiana resident who is transferring from an out-of-state school who wish to take the LEAP Tests (Grades 4 or 8) must complete the appropriate registration information below in Column A. Home schooling students or returning nongraduates who wish to take the ITBS (grade 2), LEAP Tests (Grades 4 or 8), LEAP GEE Tests (Grades 10 or 11), or iLEAP Tests (Grades 3, 5, 6, or 7) must complete the appropriate registration information below in Column B. Complete the student information and mail this form to the address at the bottom of the page (or fax to the number indicated). 1. 2. Column A STUDENT STATUS: Check one. Enrolled in Nonpublic School (list school): *Louisiana Resident Transferring From Out-Of-State School TEST TO BE TAKEN: Check one. 1. 2. Students will be tested at the grade-appropriate school within their district. INDICATE NAME OF DISTRICT GRADE-APPROPRIATE SCHOOL BELOW: 3. TEST TO BE TAKEN: Check one. ITBS Grade 2 iLEAP (not administered in summer) LEAP/GEE Grade 4 LEAP Grade 3 iLEAP Grade 8 LEAP Grade 5 iLEAP Grade 10 GEE Grade 6 iLEAP Grade 11 GEE Grade 7 iLEAP Home school students can take all four parts of LEAP. Please indicate which tests your child will be taking by checking below: ELA and math only or ELA, math, science, social studies (circle test needed) CHECK SPECIAL NEEDS: Check appropriate. Special Education 504 LEP Note: A copy of IEP or 504 Accommodations MUST be attached. (NO EXCEPTIONS!) NOTE: Nonpublic students who plan to enter public school in grades 5 and 9 are eligible to take the ELA and Math sections of LEAP. Nonpublic students are not eligible to take the GEE Grade 4 LEAP Grade 8 LEAP 3. 4. Students will be tested at the grade-appropriate school within their district. INDICATE NAME OF DISTRICT GRADE-APPROPRIATE SCHOOL BELOW: CHECK SPECIAL NEEDS: Check appropriate. Special Education 504 LEP Note: A copy of IEP or 504 Accommodations MUST be attached. (NO EXCEPTIONS!) *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. Student's Name: Column B STUDENT STATUS: Check one. Home Schooling/Returning Non-Graduates 4. 5. PLEASE PRINT Check Appropriate: Male Female 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 IN WRITING BY THE PARENT TO NOT RELEASE THE SCORES TO THE SCHOOL. ) Parent(s)/Guardian(s): Registration Forms must be received NO LATER than March 9, 2012. Return all forms to the attention of: Jim Reeve, 59656 Puleston Road, Amite, Louisiana 70422. FORMS CAN ALSO BE FAXED TO 748-2455