Highly Capable Nominations Family & Community Referral Form
Nominations of students for CERSD Highly Capable Programs can be made by parents, teachers, and community members.  Referrals must be submitted by May 13, 2022 for consideration in the 2022/23 school year.

Dear CERSD Families and Community Members,

As we prepare for the 2022/23  school year, we will be accepting referrals for highly capable services.  If you know of a student you would like to refer, please fill out the information below.
Students who are receiving Highly Capable Services as an “invitee” must be referred this year, in order to be considered for services in the 2022/23 school year.  For your reference, the highly capable definition is included below.  Keep the definition in mind as you consider students to refer.

Thank you for your time and support.  Looking forward to an excellent 2022/23 school year!

Highly Capable Definition
Highly capable students are those who perform or show potential for performing at significantly advanced academic levels when compared with others of their age, experiences, or environments.  Outstanding abilities are seen within students’ general intellectual aptitudes, specific academic abilities, an/or creative productivities within a specific domain.  These students are present not only in the general populace, but are present within all protected classes. (WAC 392.170.080)

*Referrals must be submitted by May 13, 2022 for consideration in the 2022/23 school year*

Sincerely,

Marshelle Rowley
Highly Capable Teacher (rowleyma@cersd.org)
Matt Chase
District Highly Capable Program Coordinator
509-649-4700

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Email *
Student Name *
Student Grade *
Student's School *
What special talents or skills does this child have? *
Give examples of behavior that illustrates these special skills or talents. *
Check the following items that best describe your child as you see him/her. *
Little
Some
A Great Deal
Don't Know
Advanced vocabulary for chronological age
Outstanding memory; possesses lots of information
Curious; asks endless questions (why?, “and then what?”)
Has many interests, hobbies and collections
May have a "passionate interest" that has lasted for many years
Intense; gets totally absorbed in activities and thoughts
Sensitive to beauty and other people’s feelings and emotions.
Advanced sense of justice and fairness.
Aware of global issues many age peers are uninterested in.
Sophisticated sense of humor, may be “class clown”.
Strongly motivated to do things that interest him/her; may be unwilling to work on other activities.
May be reluctant to move on from one subject to another.
Operates on high levels of thinking than his/her peers; is comfortable with abstract thinking.
Perceives subtle cause-and-effect relationships.
Prefers complex and challenging tasks to “basic” work.
May be able to “track” two or more things simultaneously.
Catches on quickly, then resists doing work, or works in a sloppy, careless manner.
Comes up with better ways for doing things:
Suggests them to peers, teachers, and other adults.
Please give any additional information you would like to share.
What is your name (name of the individual making the nomination)? *
What is your relationship to this students? *
A copy of your responses will be emailed to the address you provided.
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