Student Name: Gifted & Talented Services Creativity Nomination Teacher Nominating: School: 3 pieces of evidence are required for nomination: Grade: School Year: 1. Creativity Checklist 2. Recommendation see reverse – 3. Creativity Screening Results (if available) Creativity Checklist: 4. Student Work Samples - use provided cover sheet 4-almost always, 3-frequently, 2- occasionally, (See GT Handbook for alternate or additional pieces of evidence.) Special being different or having Doesn’t mind Considerations unusual ideas Please mark if Makes unusual connections between applicable. NONE seemingly unrelated (remote) ideas Environmental Other Considerations Transiency at least three moves – Medical issues impacting achievement Home with little enrichment or stimulation Other factors as described in recommendation Parental attitude demonstrating rejection or indifference Entertains self through imagination: Language Considerations reads, writes, draws, daydreams, English as a second language lack of – etc. proficiency Lack of verbal intellectual stimulation due Sees humor in situations that others to limited language facility may not see Cultural Considerations Viewed by others as unique Inability to function meaningfully in dominant culture due to limited exposure Retains own ideas during group work or Standards conflict with dominant culture, in group discussion involving peers, parents, & community Lower self-esteem due to self-comparison Produces impressive work when given with dominant culture standards creative product choice or assignment in interest area Economic Considerations Residence in depressed economic area with a high concentration of poverty Displays energy, mind constantly moving Low family income lunch) –(free/reduced Generates many ideas and/or expands on Large family living at subsistence level Inability to participate in varied ideas with great detail experiences Enjoys spontaneity more than routine/drill outside the home
Gifted & Talented Services Creativity Nomination 3 pieces of evidence are required for nomination: 1. Creativity Checklist Student Name: Teacher Nominating: School: Grade: School Year: 2. Recommendation – see reverse 3. Creativity Screening Results (if available) 4. Student Work Samples - use provided cover sheet (See GT Handbook for alternate or additional pieces of evidence.) Special Considerations Please mark if applicable. NONE Creativity Checklist: 4-almost always, 3-frequently, 2- occasionally, Doesn’t mind being different or having unusual ideas Makes unusual connections between seemingly unrelated (remote) ideas Environmental Transiency – at least three moves Home with little enrichment or stimulation Parental attitude demonstrating rejection or indifference Language Considerations English as a second language – lack of proficiency Lack of verbal intellectual stimulation due to limited language facility Cultural Considerations Inability to function meaningfully in dominant culture due to limited exposure Standards conflict with dominant culture, involving peers, parents, & community Lower self-esteem due to self-comparison with dominant culture standards Economic Considerations Residence in depressed economic area with a high concentration of poverty Low family income –(free/reduced lunch) Large family living at subsistence level Inability to participate in varied experiences outside the home Other Considerations Medical issues impacting achievement Other factors as described in recommendation Entertains self through imagination: reads, writes, draws, daydreams, etc. Sees humor in situations that others may not see Viewed by others as unique Retains own ideas during group work or in group discussion Produces impressive work when given creative product choice or assignment in interest area Displays energy, mind constantly moving Generates many ideas and/or expands on ideas with great detail Enjoys spontaneity more than routine/drill
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