2019-20 GT ID Referral Form
This form should be completed for students who are ONLY seeking GT identification for an Advanced Learning Plan (ALP), and who are planning to remain at their current neighborhood, option or charter school, and NOT planning to attend a GT Center school.

The ID process could take several weeks to complete. Parents will be notified via email regarding GT identification and/or the creation of an ALP.

COMPLETION OF THIS FORM IN NO WAY GUARANTEES THAT AN IDENTIFICATION WILL BE MADE. After the form is submitted, an identification process will begin which will include a body of evidence (BOE) review for your student. During the process, further information and testing may be required for your student. At the end of the process a status/determination will be made by a data review team regarding identification. If at anytime during this process you have questions, please reach out to your school's Gifted & Talented Resource Teacher. The 2019-20 GT Resource Teacher assignments: https://www.jeffcopublicschools.org/UserFiles/Servers/Server_627881/File/Jeffco%20PS/Programs/Gifted%20and%20Talented/2019-20%20GT%20Resource%20Teacher%20%20GT%20Counselor%20Assignments.pdf

Please complete the Parent Narrative form in addition to this form for GT identification. The Parent Narrative can be found
https://forms.gle/9bsYffVhSao8dCyK9

The district supports the use of electronic communication by staff. Security of district computer systems is a high priority however; the district cannot guarantee the confidentiality of email communication. It is Jeffco Schools policy to receive permission from parents before emailing anything with PII. Throughout the referral/identification process, the GT Department may need to communicate and/or send documents to you that contain PII. Please read and respond to the required question below regarding PII: Requests to prohibit email communication regarding among other things, ALP application, data or testing information should be sent to: GT Department, 1829 Denver West Drive. #27, Golden, CO. 80401.
I have read and give permission for my students data to be sent via email. *
I have submitted the Parent Narrative as part of my child's ID Referral application? If no, please go to the GT website at jeffcopublicschools.org/gt to complete the narrative. *
What school (Jeffco or out of district) does your child currently attend? *
Student Last Name *
Your answer
Student First Name *
Your answer
Middle Name
Your answer
Jeffco Student ID
Your answer
Birthdate (mm/dd/yyyy) (Your child must be 5 by October 1, 2019 to test) *
Your answer
Gender *
Current Grade *
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Contact Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary language spoken at Home *
Your answer
Is Interpreter needed for testing? *
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