2023-24 Referral Form: Artistically Gifted and Talented Program (Honors Art) Recommendation Form For 8th Grade Honors Art
Please answer the following questions and rating sections about the student you are recommending for the honors art progran at Irmo Middle School
Sign in to Google to save your progress. Learn more
Clear selection
Student’s Name-     First Middle Last *
Parent/Guardian/Peer/Teacher/ Administrator- Name *
Home Phone *
Mailing Address: number,street,zip *
School                                   Current Grade *
Date Referred- month and year *
Referred By [Name] :Relationship-                        Administrator -Parent-Teacher - Self- Peer *
Indicate your rating of the following behaviors of the student as you have observed them in your classroom, home, workplace or community gathering that is applicable. Put a check in the appropriate box.                                            :A. Exhibits high quality work in creativity, production and ideas. *
Required
Indicate your rating of the following behaviors of the student as you have observed them in your classroom, home, workplace or community gathering site that is applicable. Put a check in the appropriate box.                                   B.    Exhibits involvement and interest in creative work activities. *
Required
Indicate your rating of the following behaviors of the student as you have observed them in your classroom, home, workplace or community gathering site that is applicable. Put a check in the appropriate box.                                       C. Brings materials and items needed for creativity and expression consistently. *
Required
Indicate your rating of the following behaviors of the student as you have observed them in your classroom, home, workplace or community gathering site that is applicable. Put a check in the appropriate box.                                       D. Exhibits tasks learned outside of the class. *
Required
Indicate your rating of the following behaviors of the student as you have observed them in your classroom, home, workplace or community gathering site that is applicable. Put a check in the appropriate box.                                       E. Works independently. *
Required
What subject or life coaching and growing do you teach or mentor-model to this student? *
Additional comments:?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lexington/Richland School Dist. 5.

Does this form look suspicious? Report

Google Forms