Request for Exemption to TCA Regular Assessments - North Elementary
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Request for Exemption to Non-CMAS TCA Assessments - North Elementary
Please only submit one form per student.
Student's First and Last Names
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First Name
Last Name
TCA Campus
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Please select up to 1 choice
North Elementary
Please select up to 1 choice
Grade Level
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Please select up to 1 choice
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Please select up to 1 choice
Teacher
Please exempt my child from the following assessments for the 2025-26 school year:
Dynamic Indicators of Basic Early Literary Skills (DIBELS) Next (Grades K-6)
Cognitive Abilities Test (CogAT) (Grades 3 and 6)
Student Support Services (SSS) Assessments – only required for students identified by TCA SSS:
Dynamic Learning Maps (DLM) (Grades 3-6)
WIDA ACCESS (Grades K-6 English Language Learners only)
I understand that by excusing my student from any of the state mandated tests listed, there will be no negative consequences imposed by the school upon my student.
Parent/Guardian Name:
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First Name
Last Name
Date
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Must contain a date in M/D/YYYY format
Parent/Guardian Signature
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By typing in your first and last name, you are agreeing to sign this agreement electronically.
*Colorado Measures of Academic Success (CMAS) assessments are covered on a separate exemption
form.
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