18 - 19 Parent Gifted & Talented Referral Form
Please complete the form below to submit your referral. Please note you will need a Google account to submit this form.

Given the LEAP schedule and the length of the Gifted and Talented screening process, referrals will close in March instead of April 12. Talented Theater referrals close on Tuesday, March 19 and Talented Art and Music and Gifted referrals close on Friday, March 29. The Google referral form will close after these dates and any referrals made via a hard copy form will not be accepted this school year. Referrals will open again in September 2019. Please email Mandi Lehnherr at mlehnherr@lfno.org if you have questions.
Email address *
Student Name *
Your answer
What type of referral is this? *
Grade *
Homeroom Teacher *
Your answer
DOB *
MM
/
DD
/
YYYY
Form Completed By *
Your answer
Academics/Behavior - Check each statement that describes the student. *
Required
Communication Skills - Check each statement that describes the student. *
Required
What indicators or data provide evidence that your child would benefit from Gifted and/or Talented services? *
Your answer
What are your student’s strengths and areas of growth? *
Your answer
Gifted and/or Talented services are given in pull out sessions for 45 minutes, 1 or 2x/week, depending upon the grade. Students are responsible for making up missed work within a reasonable time frame. Please detail how your student would adjust to this and what supports s/he may need to do so. *
Your answer
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