Embedded Files
These documents are REQUIRED to be submitted to the CLUE teacher or the CLUE Office before a consent may be signed by the parent for a comprehensive evaluation.
Hearing & Vision Testing (Passing BOTH tests)
Letter to parent notifying of failing hearing or vision
TN Parent Information Form (All available languages)
There are four documents required for the actual Consent Meeting.
Procedural Safeguards Signature Form
Consent for Assessment Form
TN Assessment Instrument Selection Form (TNAISF)
Prior Written Notice
(Each of these documents are below. If the student is in EasyIEP, create the documents there. The blanks are for new students who are not in EasyIEP.)
Procedural_safeguards_signature_form_ONLY (1).docProcedural Safeguards Signature Form
2007-02-08BlankConsentforInitialStateDept.pdfBlank Consent for Assessment Form
BLANK TnAISF - goes with Consent for Testing.pdfBlank TNAISF
Blank Prior Written Notice.pdfBlank Prior Written Notice
Exemplars of Each Form
Exemplars of Each Form
Procedural_safeguards_signature_form_ONLY_(1).doc.pdfCompleted Procedural Safeguards Form
2007-02-08BlankConsentforInitialStateDept (1).pdfCompleted Assessment Form
(Students who have 10 points in Achievement on the Gifted Grid BEFORE testing only need Intellectual Functioning Checked. Otherwise, the form is completed as shown if we need testing. For a records review, the teacher should mark "OTHER" and write in "Records Review." The outside testing must be uploaded into EasyIEP BEFOREHAND.)
BLANK_TnAISF_-_goes_with_Consent_for_Testing.pdfCompleted TNAISF
Blank_Prior_Written_Notice.pdfCompleted Prior Written Notice
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