Science
Teacher Referral for Gifted and Talented Identification
Email *
This referral form is to be completed by the student's current classroom teacher. Please carefully consider behaviors observed during class. Information included may be considered as one element of the identification process for Science. Teachers will be asked to verify authenticity of the form via email response.
Student Information
Student Name:
Name of Person Making Referral and Email Address:
Student's current grade level:
Date:
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Identify How Often You Observe The Student Demonstrate the Following Behaviors:
               1- Never    2- Seldom    3- Sometimes    4- Often    5- Always
Has a large knowledge base in science for age.
1- Never
5- Always
Clear selection
Persistent; sticks with investigations in spite of difficulties .
1- Never
5- Always
Clear selection
Learns science concepts quickly.
1- Never
5- Always
Clear selection
Creates scientific predictions and possible outcomes.
1- Never
5- Always
Clear selection
Has excellent deductive reasoning skills.
1- Never
5- Always
Clear selection
Enjoys research and performing experiments.
1- Never
5- Always
Clear selection
Naturally explores how and why things work.
1- Never
5- Always
Clear selection
Very curious about scientific reasoning and problem solving.
1- Never
5- Always
Clear selection
Please Indicate at least three of the following reasons the student is exceptional in the areas marked.
As a teachers, would you rank this student's performance  in the 96% or above, among other students in science ability?
If other formal test data for science is available, please list. Do not include MAP or K-PREP data. Also list any awards or recognitions received related to this area of identification.
Thank you for completing this referral. Your expert opinion is of great value.
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