Gifted & Talented Referral Form
Parents/Guardians or teachers should complete this form if they believe a child is performing well above grade level or demonstrating exceptional strengths or talents and would like the child's performance and achievement to be reviewed to determine eligibility for gifted education services.
Email address *
Student's first name *
Your answer
Student's last name *
Your answer
Date of birth *
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/
DD
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Campus currently enrolled in *
Grade *
Name of person nominating student *
Your answer
The reason I am referring this student is *
Your answer
Bright child vs. Gifted child
Please review the characteristics of the gifted learner in the above picture and identify any characteristics you feel best describe the student *
Your answer
Relationship to student *
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