GT Referral Form

* All sections are to be completed by a parent, guardian, or school personnel.

General Information

Splendora ISD

Parent/Guardian Permission For Assessment And Participation

Previous GT Screening (Optional)

Parent Scales

Directions: These scales are designed to obtain estimates of a student's characteristics in the area of learning, motivation, creativity, and leadership. The items are derived from the research literature dealing with characteristics of gifted and creative persons. It should be pointed out that a considerable amount of individual differences can be found within this population; therefore, the profiles are likely to vary a great deal. Each item in the scales should be considered separately and should reflect the degree to which you have observed the presence or absence of each characteristic. Since the four dimensions of the instrument represent relatively different sets of behaviors, the scores obtained from the separate scales should not be summed to yield a total overall score. Please read the statements carefully and choose the appropriate place according to the following scale of values: 1. If you have seldom or never observed this characteristic 2. If you have observed this characteristic occasionally 3. If you have observed this characteristic to a considerable degree 4. If you have observed this characteristic almost all of the time

    Learning Characteristics

  1. Has unusually advanced vocabulary for age or grade level; uses terms in a meaningful way; has verbal behavior characterized by "richness" of expression, elaboration, and fluency
  2. Possesses a large storehouse of information about a variety of topics
  3. Has quick mastery and recall of factual information
  4. Has rapid insight into cause - effect relationships; tries to discover the how and why of things; asks many provocative questions; wants to know what makes things "tick"
  5. Has a ready grasp of underlying principles and can quickly make valid generalizations about events, people, or things; looks for similarities and differences in events, people and things
  6. Is a keen and alert observer; usually "sees more" or "gets more" out of a story, film, etc. than others
  7. Reads a great deal on his own; usually prefers adult level books; does not avoid difficult material; may show a preference of biography, encyclopedias, and atlases
  8. Tries to understand complicated material by separating it into its respective parts; reasons things out for himself; sees logical and common sense answers
  9. Motivational Characteristics

  10. Becomes absorbed and truly involved in certain topics or problems; is persistent in seeking task completion
  11. Is easily bored with routine tasks
  12. Needs little external motivation to follow through in work that initially excites him
  13. Strives toward perfection; is self-critical; is not easily satisfied with his own speed or products
  14. Prefers to work independently; requires little direction from teachers
  15. Is interested in many "adult" problems such as religion, politics, sex, race-more than usual for age level
  16. Often is self assertive; stubborn in his beliefs
  17. Likes to organize and bring structure to things, people, and situations
  18. Is quite concerned with right and wrong, good and bad; often evaluates and passes judgement on events, people, and things
  19. Creativity Characteristics

  20. Displays a great deal of curiosity about many things; asking questions about anything and everything
  21. Generates a large number of ideas or solutions to problems and questions; often offers unusual, unique, clever responses
  22. Is uninhibited in expressions of opinion; is sometimes radical and spirited in disagreement; is tenacious
  23. Display a good deal of intellectual playfulness; fantasizes; imagines;manipulates ideas; is often concerned with adapting, improving, and modifying institutions, objects, and systems
  24. Displays a keen sense of humor in situations that may not appear to be humorous to others
  25. Is unusually aware of his impulses and more open to the irrational in himself; shows emotional sensitivity
  26. Is sensitive to beauty; attend to aesthetic characteristics of things
  27. Is nonconforming; accepts disorder; is not interested in details; is individualistic; does not fear being different
  28. Criticizes constructively; is unwilling to accept authoritarian pronouncements without critical examination
  29. Leadership Characteristics

  30. Carries responsibility well; can be counted on to do what he has promised and usually does it well
  31. Is self-confident with children his own age as well as adults; seems comfortable when asked to show his work to the class
  32. Seems to be well-liked by his classmates
  33. Is cooperative with teacher and classmates; tends to avoid bickering
  34. Can express himself well; has good verbal facility and is usually well understood
  35. Adapts readily to new situations; is flexible in thought and action and does not seem disturbed when the normal routine is changed
  36. Seems to enjoy being around other people; is sociable and prefers not to be alone
  37. Tends to dominates others when they are around; generally directs the activity in which he is involved
  38. Participates in most social activities connected with the school; can be counted on to be there if anyone is
  39. Excels in athletic activities; is well coordinated and enjoys all sorts of athletic games

Please use this space to provide any additional information you would like the placement committee to consider, including your child’s greatest strength and why.

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