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G/T Parent Referral Form
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Email *
Parent's Name (Last, First)
Student's Name (Last, First)
Student's Date of Birth
MM
/
DD
/
YYYY
Gender
School *
Required
Address
Phone Number
Grade
What are some things about your child that lead you to believe that he/she should be considered for the gifted/talented program?
Describe briefly your child's independent reading habits and interests at home
Describe briefly what you see as your child's major talents, interests, hobbies, activities, etc
What early evidences were there of your child's special talents or abilities?
How do you think your child would benefit from participation in the gifted/talented program?
Please feel free to include any additional information or comments in regard to your child and this nomination for the gifted/talented committee.  Please expect a response within the next two weeks.
A copy of your responses will be emailed to the address you provided.
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