G-T+GT+Parent+Nomination+Form



An overview of the above document:

Graettinger-Terril Community School District

**Gifted and Talented Nomination Form**

Student Name

Birth Date Age Grade

Parent(s)/Guardian

Mailing Address

Home Phone Zip Code

*************************************************

Nomination made by

Relationship to student Date of nomination

Please share why you feel this student is gifted:

Please give the completed form to your student’s building secretary.

Reviewed: ________________________ _____________________ (GRPC) (Date)

Graettinger-Terril Community School DIstrict

**Gifted and Talented Profile**

Student Name (last) (first)

School Graduation Year

Present Teacher Present Grade




 * Recommendation:**

Based on the information gathered, the above named student

_____ is being reviewed by the Focus Program Team.

_____meets gifted and talented criteria based upon standardized test scores

_____meets the gifted and talented criteria based upon the teacher rating scale.

does not meet the gifted and talented criteria for identification at this time.

Reviewed by Date _________ Gifted and Talented Coordinator

_______ Copy to student file

**.** **Graettinger-Terril Community School District** **GEMS** **2012-2013**

**Elementary School Middle School High School**


 * Student Last: || Student First: ||
 * Student ID Number: || Grade: ||
 * Date of Birth: || Graduation Year: ||
 * Parent(s)/Guardian(s): ||
 * Address: ||
 * Telephone: || Email: ||


 * Meeting Date:** **Review Date:**


 * Student Profile**


 * GEMS attached (Goals for Excelling and Motivated Students)**

Consider adding parent input for what they want for programming.


 * Assessment/Follow Up**


 * Participants (signatures indicate approval of plan)**

________________________ ________ ________________________ Parent/Guardian DateStudentDate

________________________ ________ ________________________ Classroom Teacher DateGuidance Counselor (Secondary)Date

________________________ ________ _________________________ Focus Program Team Member DateBuilding AdministratorDate