Leadership - PARENT/TEACHER
Your child has been referred to the GT department in the area of leadership.  As part of the evidence collection, it is helpful to have a parent/guardian rate your child based on how your child is at home.  Take a few minutes and reflect on your child behaviors in front of you and answer the following questions to the best of your ability:
Email *
Name of student *
Grade of student *
School student attends *
Your name (Who is filling out this form?)
Relationship to student *
Rate each statement by asking yourself,  "To what degree does the student exhibit the behavior listed when compared with his or her age peers?" Please respond to all statements, checking on number for each.
0 Never
1 Rarely
2 Some
3 Somewhat More
4 Much More
The student is sought out by peers for advice, companionship, and ideas.
The student is sensitive to the needs and concerns of others.
The student adjusts easily to new situations.
The student is considered a "peacemaker" by peers.
The student has self-discipline.
The student has an advanced level of ethical understanding.
The student is goal oriented.
The student inspires loyalty from others.
The student is supportive of peers.
The student is viewed as fair and caring.
The student has high ideals.
The student expressed concerns for and interest in community and world issues.
Clear selection
What special strength(s) in leadership have you observed in the student in the classroom?
What special strength(s) in leadership have you observed in the student in the school as a whole (clubs, organizations, etc?
In what ways do you know of has this student shown leadership within the community?
Does the student posses the ability to work independently and focus responsibly on tasks related to leadership? If so, please provide a description.
Has the student won elections or any awards connected with leadership in or out of school? If so, please provide a brief description.
As a teacher/parent what type of activities the shows leadership skills have you done with the student that has shown this student is working above grade level? Give me substantial proof and examples. *
Do you recommend this student for GT leadership?
Clear selection
Please provide any additional relevant information for the GT Identification Committee.
A copy of your responses will be emailed to .
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