Visual and Performing Arts - Drama (input form)

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Please complete the following survey for those students who demonstrate advanced ability in the area of drama. Be as thorough as you can to give the committee a complete description of the student.
The committee also requires an audition, either live or video, preferably demonstrating a variety of techniques related to drama.

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電子郵件 *

Today's Date

YYYY

Student's Name *

Student's Grade Level *

Your Name *

School/Organization *

How do you know this student? *

Special Considerations

Please mark if applicable.

Environmental:

Transiency - at least 3 moves

Home with little enrichment or stimulation

Parental attitude demonstrating rejection or indifference

Language:

English as a second language

Lack of verbal intellectual stimulation due to limited language facility

Cultural:

Barriers to functioning meaningfully in dominant culture due to limited exposure

Standards conflict with dominant culture, involving peers, parents & community

Lower self-esteem due to self-comparison with dominant culture standards

Economic:

Residence in depressed economic area with high concentration of poverty

Low family income (free/reduced lunch)

Large family living at subsistence level

Inability to participate in varied experiences outside the home

Student with an Individual Learning Plan (IEP) or 504 Plan:

Student has an IEP

Student has a 504 Plan

Underachieving Student:

Achievement gap between what the student should be able to do and performance

Other:

Medical issues impacting achievement

Other factors as described in formal recommendation

Checklists of Gifted Characteristics: For the behavioral checklist, please click on descriptors that are valid for this student.

Drama - Gifted Behavioral Checklist *

Eager to perform in classroom plays or skits

Effectively uses voice, gestures and facial expressions to communicate feelings while reading scripts or performing

Commands and holds the attention of a group when speaking

Able to evoke emotional responses from audience by making them laugh, frown, feel tense, etc.

Able to mimic the way people speak, talk, gesture, etc.

Shifts readily into the role of another character

Has an imagination with a strong sense of fantasy

Uses voice to reflect changes in mood

Demonstrates interest in dramatic activities

Seems to pick up skills in drama without instruction

Sees different ways to portray a character when reading a script

Has a sense of humor and sees humor in situations others do not see

Notices the small details in a play

Has the ability to create original plays, skits, etc.

Has the ability to transform his/her personality into a role of another character, animal or object

Has natural talent to quickly assume a role

必填

Please describe the strengths in drama that this student has demonstrated when compared with same-age actors/actresses. Include an opportunity (or opportunities) provided in the classroom or other environment that have challenged and/or motivated this student. *

Has the student been involved with pursuits with drama in or out of school (school plays, Hardin County Youth Theater, summer camps, etc)? *

Yes

I don't know

If the previous answer is "yes", please provide a list of these drama pursuits.

Please indicate your level of recommendation for this student: *

Highly recommend

Recommend

Recommend with reservations (please explain below)

Do not recommend (please explain below)

If you responded with "Recommend with reservations" or "do not recommend" to the previous question, please provide a brief summary of your reasoning.

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