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Parent/Guardian Referral - Gifted and Talented 
Thank you for expressing interest in our Gifted and Talented Program. We value your involvement in your child's education and are excited to learn more about your child's abilities, strengths, and interests.  This questionnaire will help us ensure that our Gifted and Talented Program aligns with your child's needs and aspirations.
 
The following items include a wide range of characteristics. Indicators run on a scale from 1 - 4, with 1 being the lowest and 4 being the highest. An indicator in the high category is not necessary for all items. Some items may not have been observable. 

Thank you for your time and thoughtful respnses. Your feedback is greatly appreciated in identifying and supporting gifted and talented students. 
Email *
Student's Name *
Parent/Guardian's Name *
Academic Courses *
Required
Career and Technical Education  *
Required
Asks many questions as to what, where, when, how, and why    *
Solves problems in an organized manner 
 *
Is able to work on his or her own 
 *
Enjoys imaginative roles/games 
 *
Sees humour in certain situations
 *
Is sensitive to the feelings of others
 *
Pursues his or her own interests in seeking new information 
 *
Is able to analyze and offer positive, constructive suggestions 
 *
Likes to express and defend his or her point of view
 *
Is determined or persistent in completing tasks 
 *
Is able to work independently and/or requires little direction
 *
Pursues questions of right and wrong and/or is concerned with fairness  
 *
Is able to express himself/herself clearly
 *
Is well aware of his or her environment
 *
Has a good memory   
 *
Is able to discuss and analyze storylines 
 *
Reads many books on various topics 
 *
Is able to deal with a difficult situation through reasoning and planning 
 *
Has interests similar to those of older children and adults 
 *
Is interested in issues such as race, religion, and the environment
 *
Additional Comments
Please provide any additional comments or examples that could help us better understand your child's abilities, strengths, and potential for gifted and talented program. 
A copy of your responses will be emailed to .
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