Explorers Referral Form
Characteristics of RSU #22 Gifted and Talented Students
Student Name: *
Your answer
School: *
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Grade: *
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Date of Referral: *
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Reason for Referral: *
Your Name: *
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Your Role: *
Student learns more rapidly: *
check all that apply
Required
Evidence to support the above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student has stronger need to know: *
check all that apply
Required
Evidence to support the above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student has more intense interests and longer attention span: *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student has superior abstract thinking skills *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student may be a "perfectionist" *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student has superior vocabulary and communication skills *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student is more perceptive and observant *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student is intellectually playful: *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student often reads extensively: *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
Student may be very sensitive (sense or emotions): *
check all that apply
Required
Evidence to support above selections: *
(observations, projects, hobbies, activities, etc)
Your answer
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