2022-2023 WCS Visual/Performing Arts Gifted Nomination Form

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For the area(s) in which you would like the student to be screened for possible gifted identification, place a check mark in the box next to each behavior or attribute you have observed in the student nominated. Include additional observations you think may be relevant in the area provided below.

Email *

Student First Name *

Student Last Name *

Student ID (6 digit number) *

Age of Student *

Grade *

Attending Building *

Name of Person Referring: *

Relationship to Student *

Parent

Teacher

Self

Peer

Other:

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