About our program: Academy for Gifted and Talented Youth is a two-week enrichment program for gifted, talented and/or high achieving students who have completed grades K-8. Your recommendation helps us to assess a student's potential for success in this program. Please complete this online form in a timely fashion. It will be sent directly to the Youth Coordinator. All fields required unless indicated otherwise. Student Information Student Name Parent Email or Phone Grade Level Name of Teacher Completing Form Teacher Position/Title Teacher Work Email Teacher Work Phone School Name School Address (Street, City, State, ZIP) Student Assessment Is or has the applicant ever been involved in a gifted and talented program in the school district? YesNoThere is no formal gifted program in our district. If yes, name of program: We strive for the best possible match of student to course. In what subject areas does this child show strength? Please assess the child's performance/potential for participation in the three-hour classes held over a two-week, Mon-Fri. period. Has this student ever been sent to the principal or vice principal’s office for behavior-related issues? YesNo Please check what applies: Ability averageabove-averagesuperior Other (please explain) Focus averageabove-averagesuperior Other (please explain) Motivation averageabove-averagesuperior Other (please explain) The Student Is: Considerate Never kind or considerate to othersRarely kind or considerate to othersSometimes kind or considerate to othersOften kind or considerate to othersAlways kind or considerate to others Respectful Never respectful to othersRarely respectful to othersSometimes respectful to othersOften respectful to othersAlways respectful to others Motivated to complete tasks given Never motivated to complete tasks givenRarely motivated to complete tasks givenSometimes motivated to complete tasks givenOften motivated to complete tasks givenAlways motivated to complete tasks given Follows instruction Never follows instructionsRarely follows instructionsSometimes follows instructionsOften follows instructionsAlways follows instructions Shows high level of creativity Never shows high level of creativityRarely shows high level of creativitySometimes shows high level of creativityOften shows high level of creativityAlways shows high level of creativity Able to focus on the task at hand Never able to focus on the task at handRarely able to focus on the task at handSometimes able to focus on the task at handOften able to focus on the task at handAlways able to focus on the task at hand What other information about this student should the Excursions in Learning Program consider? Please leave this field empty.