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TAG referral (parents/guardians)
Please use the form below to submit a referral for the TAG program. Note that a referral initiates a review process but does not guarantee placement into the TAG program. The TAG team will evaluate all available evidence to determine if further testing or placement is appropriate for the student at this time.
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* Indicates required question
Student Name
*
Your answer
Your name and relationship to student
*
Your answer
Your phone number
*
Your answer
Your email address
*
Your answer
Student's current grade level
*
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student's current teacher (grades 3-5 only)
Your answer
Do any of the following apply to this student?
*
On an IEP
On a 504 plan
ELL student
None of the above
Required
In what area(s) does this student exhibit high potential compared to others his/her own age and would benefit from TAG services. Check all that apply.
*
General Intellectual Ability (demonstrates excellence in most academic areas)
Specific Academic Ability (math, science, language arts, social studies)
Leadership (responsible, respectful, cooperative, confidence, organization)
Creativity (unique responses, imagination, humor, adapting, etc.)
Required
If you checked Specific Academic Ability as a possible gifted area, please indicate which subject(s):
Language Arts
Math
Science
Social Studies
Please indicate all areas where this student shows talent or strength. You may select more than one area.
*
Art
Math
Reading
Social Emotional Maturity
Verbal Communiction
History
Music
Science
Sports
Writing
Other:
Required
Does this student speak more than one language?
(If yes, please specify the language(s) spoken in addition to English.)
*
Your answer
What topics or hobbies does your child study or practice on their own?
*
Your answer
How does your child react when a task is difficult or they make a mistake?
*
Your answer
Does your child prefer talking to adults/older kids rather than children their own age?
Your answer
Does your child have an "adult" sense of humor or ask deep questions about how the world works?
Your answer
How quickly does your child pick up new skills outside of school compared to their peers?
Your answer
When your child says they are 'bored,' what does that usually look like?
Your answer
Provide additional information about the student that should be shared with
the
TAG
eligibility
team.
Your answer
I have reviewed
Bright Learners or Gifted Learner Chart
*
Yes
Szabos, Janice. "A Bright Child vs. A Gifted Learner." Revised by Karen Powell, 2009.
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