GT Identification Referral Form

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I am referring the following student for placement in the Gifted and Talented (GT) program in Sunnyvale Independent School District.

Email *

Who is referring the student: *

Teacher

Parent/Guardian

Counselor

Self

Other:

Required

Student ID Number *

Student First Name: *

Student Last Name: *

Student Date of Birth: *

YYYY

Current Grade: *

Current Teacher (for grades K-5):

Parent/Guardian (with whom student resides): *

Full Address (where student resides): *

Parent/Guardian Phone Number: *

Parent/Guardian Email Address: *

Special Services: *

N/A

504

Special Education

ESL

Other:

Required

Consent to Test (for Parent/Guardian):

I give my consent for assessment(s) to determine whether my student qualifies for gifted and talented services. I understand my consent is voluntary and may be revoked at any time.

I do not give my consent for assessment(s) to determine whether my student qualifies for gifted and talented services.

Parent/Guardian Acknowledgement - Type Full Name (date will be captured on form submission):

If parent desires communication in a language other than English for GT referral communications, please list language here:

For questions regarding the GT Referral Process Contact:

Director of Advanced Academics, Courtney Sharkey courtney.sharkey@sunnyvaleisd.com

Notification Timeline:

Notifications for the campus selection committee's decision regarding program placement will be in writing and will go out after each respective testing window.

Fall testing window: October-December

Spring testing window: March-May

Kinder only testing window: January-February

A copy of your responses will be emailed to the address you provided.

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