Permission to Screen Form

NEW FOR 2025–2026: 
Parents/Guardians may now refer their child AND provide permission to screen using ONE combined form.  The referral must be submitted by November 21, 2025 (part 1 of the form) and can be completed by a parent/guardian, teacher, community member, or the student themselves. The Permission to Screen (part 2 of the form) must be submitted by the parent by December 19, 2025 (if not done so previously).

Families who submitted an AAS referral by November 21, 2025, must complete and submit a Permission to Screen Form (if not done so with the combined referral form). ACPS requires permission from the parent/guardian to obtain additional information, including cognitive testing. This form contains permission-to-screen information and a space to provide optional additional information you would like to share about your child. 

Families may access the form in form in three ways: 

1. PowerSchool: You can log into your PowerSchool Parent Account.  https://acpsva.powerschool.com/public  Please select your child's name, click on the Forms tab, click on the form "2025-2026 Referral Form and Permission to Screen for Advanced Academic Services," choose your preferred language from the drop-down box, and fill in and submit the form.
2. Download a copy of the form, complete it, and submit it to the AAS screening lead at your child's school (see attachments below) 

• AMHARIC- Permission for Advanced Academic Services Evaluation 
• ARABIC- Permission for Advanced Academic Services Evaluation
• DARI- Permission for Advanced Academic Services Evaluation
• ENGLISH- Permission for Advanced Academic Services Evaluation
• SPANISH- Permission for Advanced Academic Services Evaluation 

3.  Request a hard copy from your child's school AAS screening lead, complete it, and return it to the screening lead at the school.