St. Peter Lutheran Church and School               Bridge to GATE Parent Nomination Form
Application opens April 4, 2024 and closes May 4, 2024. Any additional questions contact Amber Nill at ambernill@splcs.net . 
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Student's Name *
First and last name
Date of Birth *
MM
/
DD
/
YYYY
Current Grade Level, Current Teacher, and Current School for 23-24 *
Parent's Name *
First and last name
Additional emails you would like to be included when being contacted:
Phone number *
Home Address *
NWEA Fall 23’ Scores (If you do not not email your child's teacher and ask them letting them know it is for the GATE application): *
Use this templet to complete: Math (RIT)_______ (%)_____    Reading (RIT)_______(%)______ .  *Optional IQ Score of 130 or higher completed 18 months or less from the application date (parent provided). Contact  the Gifted and Talented Director for any further questions.
NWEA Winter 24’ Scores (If you do not not email your child's teacher and ask them letting them know it is for the GATE application): 
Use this templet to complete: Math (RIT)_______(%)_____    Reading (RIT)_______(%)_____ . *Optional IQ Score of 130 or higher completed 18 months or less from the application date (parent provided). Contact  the Gifted and Talented Director for any further questions.
Why do you think the Bridge to GATE program would be a good fit for your child’s needs? *
How do you think Bridge to GATE would meet their needs? *
Any additional information you would like us to know about your student include here: *
Parent Evaluation of Gifted Traits Survey
Initiates learning and is an enthusiastic learner. *
4= Always  3= Often   2=Sometimes  1=Seldom
Learns rapidly and quickly grasps new concepts; sees connections; senses deeper meaning. *
4= Always  3= Often   2=Sometimes  1=Seldom
Has a longer attention span and is able to stick with a task of personal interest; is able to work well independently. *
4= Always  3= Often   2=Sometimes  1=Seldom
Advanced interest in topics or activities that are beyond children their age. *
4= Always  3= Often   2=Sometimes  1=Seldom
Uses a system or creates their own system to solve problems and approach new tasks. *
4= Always  3= Often   2=Sometimes  1=Seldom
Masters information in one or two repetitions and can retain and retrieve that information exceptionally. *
4= Always  3= Often   2=Sometimes  1=Seldom
Asks questions and is curious about their surroundings. *
4= Always  3= Often   2=Sometimes  1=Seldom
Thinks things through in a logical manner; is a critical thinker. *
4= Always  3= Often   2=Sometimes  1=Seldom
Produces ideas that are highly original. *
4= Always  3= Often   2=Sometimes  1=Seldom
Conveys and picks up humor well. *
4= Always  3= Often   2=Sometimes  1=Seldom
Very strong, even extreme, responses socially and emotionally. *
4= Always  3= Often   2=Sometimes  1=Seldom
Often self-critical and sometimes a perfectionist.   *
4= Always  3= Often   2=Sometimes  1=Seldom
Strong sense of compassion, justice and empathy. *
4= Always  3= Often   2=Sometimes  1=Seldom
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