Area
|
Service Options
(See below)
|
Person(s) Responsible
|
General Intellectual
|
|
|
Leadership
|
|
|
Creativity
|
|
|
|
Specific Academic
|
Reading/LA
|
|
|
|
Math
|
|
|
|
Science
|
|
|
|
Social Studies
|
|
|
|
Visual and
Performing Arts
|
Art
|
|
|
|
Music
|
|
|
|
Drama
|
|
|
|
Dance
|
|
|
|
Service Delivery Options
and Codes (use code(s) next to area and under service options, descriptions
are enclosed)
|
|
|
|
|
|
|
|
Acceleration
by Content
|
AC
|
|
Independent
Study
|
IS
|
|
Acceleration
by Grade
|
AG
|
|
Instructional
Grouping
|
IG
|
|
Collaboration
(GT teacher in regular class)
|
COL
|
|
Resource
(includes pull-outs)
|
RE
|
|
Cluster
Groups (regular class-enrichment)
|
CG
|
|
Special
Counseling
|
SpC
|
|
Consortium
|
CN
|
|
Mentorships
|
M
|
|
Consultation
Services
|
CON
|
|
Seminars
|
S
|
|
Differentiation
|
DF
|
|
College
Board AP / IB Courses
|
AP
/ IB
|
|
Distance
Learning
|
DL
|
|
College
Class Dual Enrollment
|
DE
|
|
Extracurricular
Enrichment Activities
|
ExE
|
|
Honors
/ Advanced Classes
|
HC
/ AC
|
|
|
|
|
Travel
Study Options
|
TSO
|
Signatures: Date: Teacher(s):
________________________________ ___/___/____ ________________________________ ___/___/____
CIA/GT
Resource Teacher ________________________________ ___/___/____
________________________________ ___/___/____
________________________________ ___/___/____ ________________________________ ___/___/____
Principal/Counselor ________________________________ ___/___/____