WCS Gifted Identification Referral Form 2019-2020
This form is intended for teachers, principals, counselors, parents, and students who would like to refer a student for evaluation to determine gifted identification in the areas of Reading, Math, and/or Superior Cognitive Ability. Please answer the following questions to the best of your ability. Upon submission, this form will be automatically sent to the WCS Gifted Department and to the appropriate building principal and the evaluation process will begin.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Full Home Address *
Your answer
Student's ID Number *
Your answer
Attending School *
Grade Level *
Student's Homeroom Teacher *
Your answer
Parent/Guardian Name(s) *
Your answer
Parent Phone Number (with area code) *
Your answer
Parent Email Address - if same as above, please type "same as above"
Your answer
Was the student formally identified as gifted by a previous school district? *
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