Gifted Referral 2021-2022 (Due by Nov. 14, 2022 for January 2023 testing)
This form combines the two forms from the Gifted Manual into one form.  After completing this form  please email or send work samples that reflect student ability, achievement, creativity, and/or motivation to the school test coordinator for the child's school.  TCES:  Stephanie Youngblood syoungblood@townscountyschools.org,       TCMS & TCHS:  Brooke Whitt
 bwhitt@townscountyschools.org.
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Email *
Today's date *
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Student name *
School *
Grade *
Your name *
Relationship to student
Why do you feel that the student should participate in the gifted program? *
Tell about this student's talents or things he or she is good at doing.  Include any private lessons taken by the student.   *
Tell about this student's interests or things he or she likes to do.
Has unusually advanced vocabulary for age or grade level; uses terms in a meaningful way; has verbal behavior characterized by "richness" of expression. *
Possesses a large store house of information about a variety of topics (beyond the usual interests of students his/her age) *
Has rapid insight into cause-effect relationships; tries to discover the how and why of things; asks many provocative questions *
Has a ready grasp of underlying principles and can quickly make valid generalizations about events, people or things; looks for similarities and differences in events, people, and things *
Is a keen and alert observer; usually "sees more" or "gets more" out of a story, film, etc. than others *
Learns independently; requires little direction from teachers *
Becomes absorbed and truly involved in certain topics or problems; is persistent in seeking task completion; sometimes difficult to get him/her to move on to another topic *
Is quite concerned with right and wrong, good and bad; often evaluates and passes judgement on events, people, and things *
Behaves individualistically; does not not fear to be different *
Offers unusual or unique responses *
Displays a great deal of curiosity about many things; is constantly asking questions *
Recognizes and responds to subtle humor; recognizes humor in situations where others might not *
Uses materials in original ways *
Prefers to work independently; may not be a good group member *
Elaborates on ideas from others; uses these as a jumping off point as opposed to copying them *
Needs only 1-2 repetitions for mastery; dislikes constant drilling *
Tends to assume leadership in activities *
Sets high expectations of self; often is a perfectionist *
Displays outstanding ability or potential in such areas as art, music, or drama *
Prefers complex ideas; discusses abstract ideas *
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