Retention Request Form

House File 2618, passed in May 2024, provides parents/guardians of students in grades K-6 the opportunity to request retention in the current grade level for the next school year if the student is not proficient in literacy. Proficiency is determined using the following State of Iowa approved measures: 

K-3 Literacy Status: If a student has an existing ELI “Persistently At-Risk” status following two consecutive below-benchmark scores on a FAST Screener, they are considered “not reading proficiently.” These students are not reading proficiently and require additional support.

ISASP Results for Grades 4-6: If a student in grades 4-6 is “not yet proficient” in English Language Arts on the ISASP assessment, they are also considered “not reading proficiently.”

Retention Request

Please complete the following form to request retention for your child. If you have any questions, please feel free to contact the school office.

Please submit this form by June 6, 2025.

Student's Name(Required)
(Please enter your child's full name as it appears on their school record.)
Student's Current Grade(Required)
(Please select the grade your child is currently in.)
Student's School(Required)
(Please select the school your student is currently attending.)
Parent/Guardian Electronic Signature(Required)
Follow-up Conversation Request(Required)
Would you like to schedule a follow-up conversation with your child's school regarding retention and/or your child's reading progress?

Thank you for submitting your request. You will be contacted with further instructions regarding your retention request and any next steps.

This field is for validation purposes and should be left unchanged.