Alief ISD Gifted and Talented Referral Form

Students must provide their student ID number when submitting this application, so have your student ID ready before pressing the submit button. If you do not know anything about your child's student ID card, please contact your child's school office to obtain information about this card. If your student is already receiving gifted and talented services, you do not need to refer them again. Please note that this link sent through the Google Chrome browser is best. If you use other web browsers (browser) to submit your application, you should check to see if you receive an email confirming that we have received your application. Please double check the email address you submit on this form, as that is where your confirmation email will be sent. If you are referring a student in Kindergarten, please select "KN" in the grade level drop-down.

General Information

Student ID (numbers only)

Student First Name

Student Last Name

Student Campus

Grade

Date of Birth: (MM/DD/YYYY)

Homeroom Teacher (K-5) Last Name Only (If known)

Your relation to the student

Name of person submitting this form:

Phone number of person submitting this form:

Email of person submitting this form:

Parent/Guardian Permission For Assessment And Participation

By completing this form, you confirm your permission for Alief ISD to assess your child for advanced learning opportunities such as gifted services or acceleration and for your child to participate in any such services for which he or she is identified (GT or Talent Pool).

Parent/Guardian Signature:

Date:

Previous GT Screening (Optional)

Has the student previously qualified for a gifted program outside of Alief ISD?

If student previously qualified in a gifted program, please give as much of the following information as you know.

Previous Campus

School District:

Contact Person:

Phone:

City, State

Parent Observations

Instructions: Read each statement and consider how much it reflects your child. Choose the response that reflects your observations.

Is curious and asks many questions about a variety of subjects

Solves problems in many different ways

Likes to pretend, makes up stories, & has a vivid imagination

Is sensitive to the feelings of others

Has advanced math skills & can see patterns & connections

Has a strong sense of justice & is concerned with the world

Is easily bored

Has many different hobbies/interests

Sticks to a topic or project that interests him

Has a clever sense of humor

Has an amazing memory

Learns quickly

Began talking at an early age

Has a large vocabulary for his age/grade level

Prefers to be with older children or adults

Is a perfectionist & is self-critical; gets frustrated with imperfections in others and himself

Displays leadership qualities

Is very good at art, music, dancing, or sports

Learned to read at an early age & still reads a lot

Is strong willed & likes to have his own way

Does your student receive testing accommodations according to an IEP or 504 plan? This information is NOT used for identification purposes. It is ONLY used to determine if a particular testing environment is needed.

Please use this space to provide any additional information you would like the placement committee to consider.

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