Grade 2 GT Parent Referral Form

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Grade 2 GT Parent Referral Form

Nominations for the Gifted and Talented Program are open to all students. Nomination forms may be accessed on the Troy ISD website (on the main page, select Departments → Gifted and Talented → GT: Program Information → Parent Referral Packet) or from your campus office. The nomination window is January 4, 2022 through January 28, 2022. Parent and teacher nomination forms must be received before the end of the nomination window. No late nomination forms will be accepted.

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Email *

Student First Name *

Student Last Name *

Student's Grade *

Student ID Number *

Student's Date of Birth *

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YYYY

Student's Campus *

Student's Teacher

Today's Date *

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DD

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By typing your name below you are digitally signing this document. By signing this, I give Troy ISD permission for my child to be tested for these services. Please type your full first and last name.

Parent Signature *

Parent/Guardian Name (First name, Last name) *

Parent/Guardian Email Address

Phone Number, including area code *

Name of Person Making Referral (First Name, Last Name) *

Relationship to Student *

Address (Number and Street) *

City *

State *

Zip Code *

Reason for Referral: Please review the characteristics of Gifted and Talented students listed on the form and identify any of the characteristics you feel best describe the student and the reasons you are referring the student. *

Does this student receive any special need accommodations or modifications? *

If NEW TO DISTRICT, please name your prior district below. If NOT new to district, please write N/A *

If NEW TO DISTRICT, please name your prior school below. If NOT new to district, please write N/A *

If the student receives special education or educational testing modifications, please list them here. If not, please put N/A. *

For the questions below, give us an idea of how frequently your child exhibits each of the following behaviors by placing a check mark in only ONE of the descriptors listed. It is imperative that you not project how you think they respond in the educational setting. This instrument is used to capture the time away from the classroom. Please be as objective as possible.

The student has an advanced vocabulary for his/her age. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student possesses a large storehouse of information about a variety of topics. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student has a quick mastery and recall of factual information. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student wants to know how things work and why. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student makes connections in reference to past and future. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is keenly observant; "sees more" and "gets more" out of a story, film, etc. than others. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student initiates personal reading outside of school and usually prefers adult-level books. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student tries to understand complex material by separating it into its respective parts; sees logical and common sense answers. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student becomes absorbed and truly involved in certain things; is persistent. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is easily bored with routine tasks. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is independent and self-sufficient. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is self-critical, always striving for perfection. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is interested in and asks questions about "adult" problems such as religion, politics, world crisis, etc. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is self-assertive, perhaps even aggressive, in his/her beliefs. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student likes to plan and organize people, things, and situations. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is quite concerned with right and wrong. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student is intensely curious and constantly asking questions. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student generates a large number of ideas or solutions to problems, offering unique and clever responses. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student expresses strong feelings and opinions; is sometimes radical in disagreement. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student shows imagination and is often concerned with manipulating ideas. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student shows emotional sensitivity. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student sees humor in situations that may not appear to be humorous to others. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student does not always follow the crowd, is individualistic. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student carries responsibility well, is a good leader. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student relates to peers as well as adults. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student enjoys time alone. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

The student tends to dominate others when they are around. *

0. I have never observed this

1. I have seen this once or twice

2. I see this every once in a while

3. I see this almost all of the time

Please use this section to tell us anything you think is important about your child that we have not asked. Feel free to add any information you think might be useful in giving us a clear picture of what your child has done. Be as specific as possible in describing your child's interests and accomplishments. *

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