La Conner School District Highly Capable Student Referral: Teacher Rating
The La Conner School District's Highly Capable/Highly Motivated Program identification process is evaluating referred students to determine eligibility.  Please complete the following form for each student who has been referred.  Thank you.
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Your name (teacher completing the form): *
Student Name *
Student's Current Grade Level *
Student Characteristics
For each statement, check the word that best describes the student. Please cite specific examples.
The student is an intense learner.  This is demonstrated through
Almost Always
Often
Seldom
determination to complete assignments and projects successfully
using advanced vocabulary, incorporating it into conversation or writing
possessing a large amount of factual knowledge used accurately, reading extensively
social awareness, concern for fairness, prejudice, and equity issues beyond age level
exploring topics of personal interest beyond age level, becoming totally absorbed in an area of particular interest
Clear selection
Example:
The student is an analytical thinker.  Analytical thinking is demonstrated through
Almost Always
Often
Seldom
an understanding of ideas and complex concepts
an interest in challenging situations, approaching problems from different perspectives, tackling difficult problems and issues which others may find frustrating
learning new skills and concepts quickly
an awareness of relationships, using metaphors or analogies, making mental connections
a willingness to take risks, showing confidence in answers and willing to support a different idea or opinion
Clear selection
Example:
The student is a creative producer.  Creative, productive thinking is demonstrated through
Almost Always
Often
Seldom
generating different ideas, adapting readily to new situations
originality, expressing familiar ideas in unusual ways, offering unique solutions to problems or questions, creating original products
creating detailed projects, turning the simple into complex, adding details, embellishing
questioning, asking complex questions not typical of age group
a sense of humor reflecting advanced understanding, seeing humor in situations others find humorless
Clear selection
Example:
The student is highly motivated in areas of interest.  Motivation is demonstrated through
Almost Always
Often
Seldom
working well independently
exceeding expectations, doing more than what is required on assignments of interest
working cooperatively as a team member, receptive to the ideas of others
eagerness to complete assignments of interest on time or prior to due date
assuming leadership positions, leading the group
Clear selection
Example:
Additional comments or data to support determination of eligibility
Please be as specific as possible in commenting on any characteristics, abilities, and/or aptitudes of this student that you feel should be brought to the attention of the Selection Committee
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