Academic Information Form

ACADEMIC INFORMATION FORM
Student Name *

First NameLast Name
Grade of Interest: *
Year Entering: *
Thank you for our interest in Good Shepherd Catholic School. It is very helpful for us to fully understand a student’s learning profile, please complete the following form for review.
Has your child:
Been referred for an assessment due to difficulties related to learning?*
Been evaluated due to difficulties related to learning? *
Ever been diagnosed with any type of specific learning disability? *
Ever had an accommodation plan (504 or formal accommodation plan), received small group support at school or qualified for an ILP or IEP? *
Been diagnosed by a doctor with any medical or physical issues that could potentially impact school, including ADD or ADHD? *
Been prescribed medication for ADD/ADHD or any learning-related issues? *
Please submit a recent report card, unofficial transcript and/or recent assessment to sheilah.bradley@goodshepherddenver.org. Along with any current evaluations if applicable.
If you have answered "Yes" to any of these questions, please provide any specific diagnoses your child has received and any additional intervention they have received. We also ask that you provide us with any documentation (test scores and/or reports) that have been completed so that we can best consider your child’s learning needs.
In summary, the Archdiocese of Denver Catholic Schools recognizes the unique gifts and dignity of students with special education needs. We also recognize our responsibilities to work for the inclusion of all students seeking a truly Catholic education in our schools, that responsibility includes providing quality program that is at least as distinguished as any offered in the area public schools (CIC, 806, §2). The Archdiocese of Denver Catholic Schools will continue to enroll students with mild and moderate special needs that can be served through the existing resources of the school. The Office of Catholic Schools will continue to research opportunities to include students with more profound special needs as they are presented. Good Shepherd Catholic School does not have a Special Education program. We will attempt, however, to provide reasonable accommodations for children who have different educational needs.
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ACADEMIC INFORMATION FORM

Thank you for our interest in Good Shepherd Catholic School. It is very helpful for us to fully understand a student’s learning profile, please complete the following form for review.

Has your child: