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Holding back
I am a Foster parent and a high school teacher. If possible, it might be a good idea to hold your nephew back. If he doesn't get the fundamentals, it will be really hard later. Maybe, though, he could be transferred to a new school that is better with attendance and then he wouldn't have the stigma with the other kids of being held back.
I wish that my FD's grandparents had held her back in kindergarten or first grade. Actually, the richer parents in West LA are holding students back so that they will be even more "ahead". My best friend is doing this with her bright son in kindergarten, so it's not a stigma the way it was when I was little and they wanted kids to skip grades.
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