Gifted Identification Testing Referral Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Gifted Identification Testing Referral Form - fall 2023 and spring 2024

The first step of referring a student in regard to the gifted identification process is to complete the Gifted Identification Testing Referral Form by October 1, 2023 at 4pm EST for fall assessing, and by February 1, 2024 at 4pm EST for spring assessing. Any student currently enrolled with Strongsville City Schools may be referred by a parent/legal guardian, teacher, student, themself, or administrator for this referral testing for gifted identification.

Fall Testing Window: October 2023
Spring Testing Window: February 2024
Areas tested: Cognitive abilities, mathematics, and/or reading, and/or creative thinking

After receiving this completed Testing Referral Form, the Office of Curriculum will be in contact during the fall or spring testing window to schedule the student's test date and time, which will be administered by either the Gifted Intervention Specialist, Gifted Coordinator, or other qualified personnel during the school day.

Strongsville City Schools provides gifted services to students identified as gifted math and/or overall superior cognitive students with applicable math score in grades 3-5. In Ohio, once a student is identified as gifted, this identification remains throughout their schooling career without a need for retesting.

Results will be shared and discussed with the parent/family within 30 days of scoring and norming of the assessment.

Email *

Your Current Email Address: *

Person Making the Request for Referral *

Parent/Guardian

Teacher

Administrator

Peer

Self

Other - please specify on next box

Required

If other was chosen above, please specify

First and last name of person completing the referral *

Student's First Name *

Student's Last Name *

Phone Number *

Current Grade Level *

Current Teacher *

Area requested for gifted identification testing: *

Cognitive Abilities

Specific Academic Ability: Math

Specific Academic Ability: Reading

Creative Thinking (only applicable for students with a 112 or higher on superior cognitive ability assessment)

Required

Please explain the reason you believe this child may be gifted in the area(s) listed above: *

I (parent / guardian) give permission for my child to participate in gifted identification testing. If a child does not score within the gifted identification range during the testing window, a parent/guardian, etc. may refer the child again for gifted identification testing during a subsequent referral window. *

I (parent / guardian) understand the process for gifted identification testing and give permission for my child to be tested during the regular school day by the Gifted Intervention Specialist, Gifted Coordinator, or qualified personnel during the testing window. Date and time will be shared.

I (parent / guardian) do not understand and request email communication.

I am not the parent or guardian of the child, but have informed the parent or guardian of the completion of this form for their child. The Curriculum Department will connect with the parent / guardian for permission for testing.

Required

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Strongsville City Schools. Report Abuse

Forms