Fictional preparation worksheet · not a district form

Turn a real moment into
clear parent evidence.

Trussville City School District controls its current forms, prompts, and submission rules. Bloomfield helps your family gather honest examples and explain the learning need clearly before you begin.

Sample learnerMaya R. · Grade 4

All names and details are fictional. Use the structure—not the wording—and write only what you have actually observed.

Bloomfield evidence promptPreparation example

What have you observed that shows your child may need greater depth, complexity, or pace?

After Maya's cardboard bridge collapsed, she changed one support at a time and tested every version with the same stack of books. She recorded the results without being asked and explained why two designs failed in different ways.

Later, she used what she learned to revise a model built by her group. She compared the two approaches, identified the strongest part of each, and asked to keep working after the assignment ended.

This pattern suggests that Maya benefits from longer problems, opportunities to test more than one approach, and time to explain the evidence behind her conclusions.

A simple evidence check

One observed moment is stronger than a list of adjectives.

Before transferring anything to the district's current form, check that each statement is specific, truthful, and connected to what your child needs next.

Specific

Names the task, choice, and result instead of using broad labels.

Child-led

Makes clear what the child initiated or completed independently.

Need-focused

Connects the observation to the depth, complexity, or pace the child needs.

Honest

Uses one real moment and does not claim that it guarantees placement.

Use the current district process

Bloomfield prepares the thinking. The district owns the application.

Open the current official instructions before starting.
Answer only the questions the district actually asks.
Use your child's authentic work and your own observations.
Keep confirmation of every form or document you submit.

Open Trussville City School District instructions ↗

Bloomfield Navigator

Keep the application, evidence, and dates in one family plan.

Navigator adds guided prompts, program alerts, a practical checklist, and one private place to organize the next step.

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