What best describes your relationship with the student? *
What is the student's name? *
Your answer
What is the student's grade? *
What Bethel school does the student attend? *
To the best of your knowledge, has the student ever been referred, identified, or participated in any program for gifted students? If yes, would you please provide details? *
Your answer
Please describe the student's area(s) of strength and describe the abilities that led you to submit this referral. *
Your answer
In regards to the student's inclination to be a CRITICAL THINKER, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Poses unique ideas or complex solutions to a problem
Organizes data to discover patterns or relationships
Solves problems intuitively; may not be able to explain why correct
Sees relationships and makes connections
In regards to the student's inclination to learn at an ACCELERATED pace, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Learns easily and rapidly
Has an exceptional memory
Has an exceptional amount of factual knowledge
Has an advanced vocabulary
Ideas are organized and complete
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Learns easily and rapidly
Has an exceptional memory
Has an exceptional amount of factual knowledge
Has an advanced vocabulary
Ideas are organized and complete
In regards to the student's inclination to be SELF-DIRECTED, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Is venturesome, likes to do new things
Tends to direct activities in which they are involved
Likes to work independently
Resourceful in seeking ways to solve problems
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Is venturesome, likes to do new things
Tends to direct activities in which they are involved
Likes to work independently
Resourceful in seeking ways to solve problems
In regards to the student's inclination to enjoy being CHALLENGED, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Enjoys trying to solve difficult problems; likes puzzles
Has the ability to concentrate for long periods of time
Is easily bored with routine tasks
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Enjoys trying to solve difficult problems; likes puzzles
Has the ability to concentrate for long periods of time
Is easily bored with routine tasks
In regards to the student's inclination to be CURIOUS, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Has a wide range of interests
Is an avid reader
Asks penetrating questions
Becomes deeply absorbed in certain topics
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Has a wide range of interests
Is an avid reader
Asks penetrating questions
Becomes deeply absorbed in certain topics
In regards to the student's inclination to be CREATIVE, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Displays a sense of humor
Develops convincing characters and situations in writing
Uses vivid expressions, elaborate details in speaking or writing
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Displays a sense of humor
Develops convincing characters and situations in writing
Uses vivid expressions, elaborate details in speaking or writing
In regards to the student's inclination to be concerned with ETHICS, please rate the student on the following characteristics/behaviors that you have observed on a regular basis compared to other students of the same age. *
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Calls attention to "unfair" decisions and situations
Shows concern about adult, social, or political issues
0= Seldom/Never
1= Sometimes
2= Often/Frequently
3= Usually/Always
Calls attention to "unfair" decisions and situations
Shows concern about adult, social, or political issues
Please use this section to add comments about the student that make you think they are academically talented and/or intellectulally gifted *
Your answer
(Parents) The TAG evaluation process could involve academic and intellectual testing. Prior to testing, the school psychologist will notify the parent or legal guardian.By marking this box, I authorize Bethel School District to proceed with the TAG identification process.