Hallettsville ISD Gifted/Talented Referral Form
Student Information
Student Name (first and last): *
Campus: *
Grade: *
Referred by (first and last name): *
Relation to student: *
Has this student been previously tested for gifted/talented services?
Clear selection
If yes, where?
If yes, when?
I fully realize that completing this referral document alone does not mean this student will qualify for services. This referral only indicates that I would like for the above-named student to be considered for assessment. I understand that assessment does not guarantee qualification, but is a necessary component for data collection.
Please retype your full name to show that you have read and acknowledge the above statement. *
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