Amelon Gifted Referral Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The nomination process is continuous throughout the year and permits referrals from teachers, parents, peers, community persons, and the student himself/herself. Testing usually occurs three times each year for any referrals– fall, winter, and spring. Other times can be added if needed. Filling out this referral will initiate the screening process with the Talented and Gifted (TAG) Specialists.

Note: All 2nd-grade students are tested annually. The student's current academic performance should support the student being referred. This form can be filled out by anyone and will initiate a conversation with Mrs. Gray (Principal), Mrs. Watkins (Assistant Principal), Mrs. Baker (School Counselor), or Mrs. Brown (TAG Specialist).

Note: Parent/Guardian permission must be secured prior to evaluating students.

Email *

Option 1

Date of Referral *

YYYY

First name of who is submitting this form. *

Last name of who is submitting this form. *

Your role *

Student's First Name *

Student's Last Name *

Grade Level *

For which subject(s) is the student being referred for?

Math

Language Arts

Both

Has this student ever been screened before? *

Yes

Not sure

Comments (if any)

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Amherst County Public Schools.

Does this form look suspicious? Report

Forms