Gifted & Talented Services Student Name: Specific Academic Nomination Teacher Nominating: 3 pieces of evidence are required for nomination: School: 1. Norm Referenced Test in area of Grade: School Year: Test: Please indicate percentile: Other: Specific Academic Checklist 2. Specific Academic Checklist only Rate in nominated content 3. Recommendation see reverse – area 4-almost always, 3-frequently, 2- occasionally, (See GT Handbook for alternate or additional pieces of evidence.) Special Considerations Benefits from rapid rate of presentation in Please mark if this content area applicable. Environmental NONE Exhibits advanced content vocabulary Transiency at least three moves Considerations – Home with little enrichment or stimulation Parental attitude demonstrating rejection or Asks probing questions in this content area indifference Pursues content area information outside Language Considerations classroom English as a second language lack of – proficiency Understands advanced content area concepts Lack of verbal intellectual stimulation due to limited language facility Recognized by peers as a content area expert Cultural Considerations Seems to know many things within content Inability to function meaningfully in dominant area that have not been taught culture due to limited exposure Standards conflict with dominant culture, Retains what has been taught in content area involving peers, parents, & community with ease Lower self-esteem due to self-comparison with dominant culture standards Recognizes errors related to this content area made by others Economic Residence in depressed economic area with a high level concentration of poverty Perceives content connections & relation- Low family income –(free/reduced ships that may not be obvious to others lunch) Large family living at subsistence Inability to participate in varied Other factors as described in recommendation experiences outside the home TOTAL Other Considerations Medical issues impacting achievement
Gifted & Talented Services Specific Academic Nomination 3 pieces of evidence are required for nomination: 1. Norm Referenced Test in area of Test: Please indicate percentile: Other: 2. Specific Academic Checklist 3. Recommendation – see reverse (See GT Handbook for alternate or additional pieces of evidence.) Special Considerations Please mark if applicable. Student Name: Teacher Nominating: School: Grade: School Year: Specific Academic Checklist Rate only in nominated content area 4-almost always, 3-frequently, 2- occasionally, Benefits from rapid rate of presentation in this content area Environmental NONE Exhibits advanced content vocabulary 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 Asks probing questions in this content area Pursues content area information outside classroom Understands advanced content area concepts Recognized by peers as a content area expert Seems to know many things within content area that have not been taught Retains what has been taught in content area with ease Recognizes errors related to this content area made by others Residence in depressed economic area with a high concentration of poverty Low family income –(free/reduced lunch) Large family living at subsistence level Perceives content connections & relation- ships that may not be obvious to others Inability to participate in varied experiences outside the home Other Considerations Medical issues impacting achievement Other factors as described in recommendation TOTAL
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