Other Considerations Medical issues impacting achievement Gifted & Talented Services Other factors as described in recommendation Leadership Nomination 3 pieces of evidence are required for nomination: 1. Leadership Ability Checklist Student Name: 2. Recommendation see reverse – 3 Event Observations Nominating Person: 3. Leadership Portfolio (to be completed by Relationship to Student: Extracurricular student) Activities Previous Leadership School: Roles Reference Letter Grade: School Year: (See GT Handbook for alternate or additional pieces of evidence.) Special Considerations Leadership Ability Please mark if Checklist applicable. NONE Please Environmental rate Transiency at least three moves – 4-almost always, 3-frequently, 2- occasionally, Home with little enrichment or stimulation Parental attitude demonstrating rejection or indifference Influences others to work towards goals Language Considerations English as a second language lack of – _ Brings structure to & organizes activities proficiency Lack of verbal intellectual stimulation due _ Interacts easily with peers & adults to limited language facility Cultural Considerations _ Often self-assertive & persistent in Inability to function meaningfully in dominant beliefs culture due to limited exposure Standards conflict with dominant culture, _ Communicates effectively involving peers, parents, & community Lower self-esteem due to self-comparison _ Shows sensitivity to others & situations with dominant culture standards _ Establishes the mood of a group Economic Considerations Residence in depressed economic area with a _ Recognizes skills & others’ high concentration of poverty abilities Low family income (free/reduced lunch) – Large family living at subsistence level _ Initiates activities with peers Inability to participate in varied experiences _ Displays outside the home
Gifted & Talented Services Leadership Nomination 3 pieces of evidence are required for nomination: 1. Leadership Ability Checklist 2. Recommendation – see reverse 3 Event Observations 3. Leadership Portfolio (to be completed by student) Extracurricular Activities Previous Leadership Roles Reference Letter (See GT Handbook for alternate or additional pieces of evidence.) Special Considerations Please mark if applicable. NONE 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 Student Name: Nominating Person: Relationship to Student: School: Grade: School Year: Leadership Ability Checklist Please rate 4-almost always, 3-frequently, 2- occasionally, Influences others to work towards goals _ Brings structure to & organizes activities _ Interacts easily with peers & adults _ Often self-assertive & persistent in beliefs _ Communicates effectively _ Shows sensitivity to others & situations _ Establishes the mood of a group _ Recognizes others’ skills & abilities _ Initiates activities with peers _ Displays
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