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    APPLICATION OF INTENT & Permission Slip:
    STAMP Language Test

    Cost:  $ 0 for First Test, $17.00 per additional test

    Test Dates: April 16th, 9:00 AM, RHS, OR May 10, at 11:30 AM . RHS Library

    Test takes approx. 2 hours.

    Please print your information into the fields below.

    STUDENT INFORMATION: Name:________________________Email__________________

    Primary Phone: ___________________ Student ID:__________________


     Preferred Test Date:          April 16th, 9:00 AM, RHS Library   OR    May 10, at 11:30 AM, RHS Library




    Language(s) in which student is testing:  Circle ALL that apply.


                Arabic            Chinese         French            Hebrew          Hindi               Italian        Mandarin            


             Japanese          Korean           Polish           Russian          Spanish          German  

     *if you are interested in a language not on the list, please contact walshh@randolph.k12.ma.us, or see Ms. Walsh in Room 127 (RHS) for more information.


    I certify that I plan to take the STAMP examination in order to pursue the Seal of Biliteracy. 



    Student signature ___________________________ Parent/Guardian signature_______________


    ***Please return this permission slip by:  April 8, 2019 to the main office.

    If want more than 1 test, you may pay with cash or money order to Randolph Public Schools