Has student previously been screened for GT services in LISD? *
Required
Name of Person Referring Student for Services *
Your answer
Relationship To Student (check the box that best describes your relationship to the student) *
Required
In your own words, explain why you are referring your learner for GT screening and assessment. Use the Gifted Traits and Characteristics article to help guide your statement. *
Your answer
Required Additional Items to Complete - To be done by parent or guardian
**BOTH items below must be completed for the Referral to be complete and considered for the QUEST Program**
To help us better understand the learner the parent or guardian of the student will need to complete the following: