SBISD GT Parent Referral/Teacher Recommendation Form

Student ID is required to submit this form, please have it ready before submitting it. If you do not know your student's ID, please contact their campus to obtain it before proceeding. Please note that this link works best with Google Chrome. If you are using any other browser, you will need to make sure that you receive a confirmation email when you submit the form. If you do not receive a confirmation email, use another device and submit the referral again. Be sure to double-check the email address you submit on this form, as that is where your confirmation email will be sent. An incorrect email address will delay the referral process. Spring Branch ISD follows the Texas State Plan and includes multiple measures when evaluating students for gifted services. Results from the GT referral will be available in the Skyward Parent Portal by the end of February.

General Information

Student ID (numbers only)

Student First Name

Student Last Name

Student Campus

Grade

Date of Birth: (MM/DD/YYYY)

Homeroom Teacher (K-5) Last Name Only (If known)

Your relation to the student

Name of person submitting this form:

Phone number of person submitting this form:

Email of person submitting this form:

Parent/Guardian Permission For Assessment And Participation

My typed name below represents my signature and consent for my child, named above, to be evaluated for the GT program, and if my child qualifies for services, this form gives SBISD permission to provide services.

Parent/Guardian Signature:

Date:

Previous GT Screening

Has the student previously qualified for a gifted program?

If student previously qualified in a gifted program, please give as much of the following information as you know.

Name of gifted program:

School District:

Contact Person:

Email (no special characters such as < or ")

Address including City, State and Zip:

Parent Inventory

Please complete the rest of this form so that we may better understand your child’s needs. Please read the descriptors below and select the one that best describes your child, Choice 1 or Choice 2.

1: Enjoys school often OR 2: Enjoys self-directed learning

1: Is receptive-attentive to learning and ideas OR 2: Is intense-mentally and physically involved

1: Prefers company of age peers OR 2: Prefers company of older peers/adults

1: Highly interested OR 2: Highly curious

1: Remembers the answers OR 2: Asks the unexpected questions

1: Pleased with own learning OR 2: Self-critical

1: Has good ideas OR 2: Has wild and unusual ideas

1: Good memorizer OR 2: Good guesser

1: Works hard to achieve OR 2: Knows without working hard

1: Is accurate and complete OR 2: Is original and continually developing

Preferred language for testing (if available):

Does your student receive testing accommodations according to an IEP or 504 plan? This information is NOT used for identification purposes. It is ONLY used to determine if a particular testing environment is needed.

Please comment or provide examples relating to any of the questions on this form or other traits that you see in your child that demonstrate characteristics of a gifted child.

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