Leadership Peer Referral Form

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Name of Student Being Referred (First and Last) *

Your Name (First and Last) *

Grade *

Indicate your level of recommendation for this student for Gifted and Talented Leadership (Check one): *

Highly Recommend

Recommend

Recommend with reservation

Do not recommend

Required

Leadership Checklist (Please check all that apply to the peer that you are referring): *

Influences others to work toward desirable/undesirable goals

Looked to by others when something must be decided

Tends to dominate peers or situations

Initiates activities that involve peers

Transmits his/her enthusiasm for a task to others

Judges the abilities of others and finds a place for them in a group setting

May appear "bossy" at times

Interacts easily with both peers and adults

Sought out by other students for play/activities

Appears to have a deep sense of justice and fair play

Can be counted on to do what he/she promised

Is sensitive to feelings of others or to situations

May correct others seen as doing the wrong thing

May be frustrated by lack of organization or progress

Makes things happen

Is often the captain of teams

Self-confident with others and comfortable about sharing strengths

Cooperative with others

Communicates effectively

Can easily adapt to new environments

Required

Please give specific reason for why you feel this student is gifted and talented in the area of leadership. *

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