By typing your name below you are digitally signing this document. By signing this, I give Troy ISD permission for my child to be tested for these services. Please type your full first and last name.
Parent/Guardian Name (First name, Last name) *
Your answer
Phone Number, including area code *
Your answer
Address (Number and Street) *
Your answer
City *
Your answer
State *
Choose
Texas
Zip Code *
Your answer
Does this student receive any special need accommodations or modifications? *
Choose
Yes
No
If the student receives special education or educational testing modifications, please list them here. If not, please put N/A. *
Your answer
For the questions below, give us an idea of how frequently your child exhibits each of the following behaviors by placing a check mark in only ONE of the descriptors listed. It is imperative that you not project how you think they respond in the educational setting. This instrument is used to capture the time away from the classroom. Please be as objective as possible.
The student has an advanced vocabulary for his/her age. *
The student possesses a large storehouse of information about a variety of topics. *
The student has a quick mastery and recall of factual information. *
The student wants to know how things work and why. *
The student makes connections in reference to past and future. *
The student is keenly observant; "sees more" and "gets more" out of a story, film, etc. than others. *
The student initiates personal reading outside of school and usually prefers adult-level books. *
The student tries to understand complex material by separating it into its respective parts; sees logical and common sense answers. *
The student becomes absorbed and truly involved in certain things; is persistent. *
The student is easily bored with routine tasks. *
The student is independent and self-sufficient. *
The student is self-critical, always striving for perfection. *
The student is interested in and asks questions about "adult" problems such as religion, politics, world crisis, etc. *
The student is self-assertive, perhaps even aggressive, in his/her beliefs. *
The student likes to plan and organize people, things, and situations. *
The student is quite concerned with right and wrong. *
The student is intensely curious and constantly asking questions. *
The student generates a large number of ideas or solutions to problems, offering unique and clever responses. *
The student expresses strong feelings and opinions; is sometimes radical in disagreement. *
The student shows imagination and is often concerned with manipulating ideas. *
The student shows emotional sensitivity. *
The student sees humor in situations that may not appear to be humorous to others. *
The student does not always follow the crowd, is individualistic. *
The student carries responsibility well, is a good leader. *
The student relates to peers as well as adults. *
The student enjoys time alone. *
The student tends to dominate others when they are around. *
Please use this section to tell us anything you think is important about your child that we have not asked. Feel free to add any information you think might be useful in giving us a clear picture of what your child has done. Be as specific as possible in describing your child's interests and accomplishments. *
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Troy ISD. Report Abuse