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Pine-Richland School District Gifted Education Plan (TOC)

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Achievement Test - Third  Score              e

Edition (WIAT-III)

WIAT-III Reading                                0123
Comprehension

WIAT-III Math Reasoning                         0123

                                                Total Cumulative Points: __________

Kindergarten – Grade 3:
A cumulative score of 16 out of 26 or Intellectual Assessment score of 8 is required for placement in gifted support.
This student received a total of _______ points and Intellectual score of _______. The student is therefore

( ) eligible ( ) not eligible for placement in gifted support.

Completed by: _____________________________     Date: ________________________

Eligible: Evaluation forwarded to GIEP Case Manager for GIEP Development

Not Eligible: Evaluation forwarded to School Counselor. Schedule MTSS Team meeting to review results and
determine recommended enrichment and/or differentiated instruction in areas of strength.
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