Gifted and Talented Program Nomination Form
Please complete this nomination form for consideration in a Bloomington Public Schools gifted and talented program. Our identification committee will review this information along with other data to determine program eligibility. To learn more about our gifted programs, click the links below:
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Email *
Parent/Caregiver's First Name *
Parent/Caregiver's Last Name *
Parent/Caregiver email *
Parent/Caregiver phone number *
Student First name *
Student Last name *
Student's Current Grade *
Is the student currently enrolled in Bloomington Public Schools? *
Home Address for Bloomington residents only. 

Why Address? Your address helps us determine which school site your student would receive bussing to and from.
Are you interested in having your student take a CogAT ability assessment? (Optional) Note: Testing only occurs during the school year.

Testing cost: CogAT ability assessment cost is $50 for out-of-district families. There is no cost for BPS families.
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If you answered "Yes" to the question above, we need your student's date of birth. mm/dd/yyyy
Does your student currently have an IEP or 504 plan? 
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Which program are you interested in (if known)? 
Is there anything else you would like to share about your student?
Out-of-district families only
If you are applying from outside of Bloomington Schools, you are required to submit additional data:

1. Ability Data: We require results from one the following assessments:
  • Cognitive Abilities Test (CogAT)

  • Otis Lennon School Ability Test (OLSAT)

  • Wechsler Intelligence Scale for Children (WISC-V). 

Note: The WISC-V results must be administered by a licensed psychologist or psychiatrist. Our department can administer a CogAT for a fee of $50. If you prefer, you may obtain testing independently. Pat Geraghty (pjgeraghty12@gmail.com), Bloomington’s former Director of Special Education and licensed psychologist offers the WISC-V (IQ) assessments on behalf of our department at a reduced rate. 


2. Achievement Data: Please provide your child's most recent reading and math achievement data from one of the following assessments: 

  • FASTBridge

  • NWEA Measure of Academic Progress (MAP) 

  • Iowa Test of Basic Skills (ITBS)

  • Woodcock-Johnson IV Tests of Achievement (WJ-IV)


 
Data submissions and/or questions can be sent to:

Kelly Killorn, Gifted Coordinator

kkillorn@isd271.org

A copy of your responses will be emailed to the address you provided.
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