General Intellectual Ability
Teacher Referral for Gifted and Talented Identification
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This referral form is to be completed by a student's classroom teacher. Please carefully consider behaviors observed during class. Information included may be considered as one element of the identification process for General Intellectual Ability. teachers will be asked to verify authenticity of the form via email responses.
Please Complete the Following Information:
Student Name:
Name and email of person making referral:
Student's current grade level:
Date of referral
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/
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/
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Indicate how often you observe the student demonstrate the following behaviors:
                                1- NEVER      2 - SELDOM       3 - SOMETIMES      4 - OFTEN     5 -  ALWAYS
Learns rapidly and with little effort.
1- NEVER
5- ALWAYS
Clear selection
Easily retains information without repetition
1- NEVER
5- ALWAYS
Clear selection
Knows information and concepts that haven't yet been taught.
1- NEVER
5- ALWAYS
Clear selection
Keen observer with an intense focus on learning
1- NEVER
5- Always
Clear selection
Works one or more years above grade level.
1- NEVER
5- ALWAYS
Clear selection
Has an advanced vocabulary.
1- NEVER
5- ALWAYS
Clear selection
Makes connections between topics or subjects without prompting.
1- NEVER
5- ALWAYS
Clear selection
Thinks analytically about topics of interest.
1- NEVER
5- ALWAYS
Clear selection
Please indicate at least three of the following reasons the student is exceptional in the areas marked.
Mark at least three:
List or indicate any honors, awards, recognitions or elected offices this student has held related to this area of identification.
Provide any additional comments.
As a teacher, would you rank this student's performance at he 96% or above among other students in General Intellectual ability?
Clear selection
Thank you for completing this referral. Your expert opinion is of great value.
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