Gifted and Talented Referral/Permission to Test Form (Parent/Guardian)

Student ID is required to submit this form. If you do not know your student’s ID number, please contact his/her school. Referrals will only be accepted for Kindergarten through 11th grade. Pre-K referrals are not accepted at this time. Please complete the information below by November 30 so the assessment and evaluation can occur. Below is a timeline of the referral/assessment process. · December 2022 - Scales for Identifying Gifted Students (SIGS) will be sent via email. This is your opportunity to tell us more about your child and this information will be used as part of the identification process. Please return by January 15, 2023. · December 2022 – Assessments begin. · March 1, 2023 – Students will be identified by this date. Parents will receive notification via email. Testing requires an average of four hours per child, which is done in smaller increments to accommodate the needs of young testers. Please contact me if you have any questions. Tish Cawley Coordinator of Gifted and Talented Services 512-268-2141 x45035 tish.cawley@hayscisd.net

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

ACCEPT: My typed name below represents my signature and confirms my permission for Hays Consolidated ISD to assess my child for gifted services and for my child to participate in gifted services if identified. I understand my child may not be in a gifted cluster class or with a G/T-trained teacher until the following school year. However, the classroom teacher will provide differentiated instruction as needed. In grades K-5 newly identified G/T students will be served by the G/T Instructional Coach once per month, March through May.

DENY: My typed name below represents my signature and confirms that I deny permission for Hays Consolidated ISD to assess my child for possible G/T services. By completing this section, I am acknowledging my student will not be evaluated for G/T and therefore will not be eligible for services.

Parent/Guardian Signature:

Date:

Parent Questionnaire

As part of the assessment process, parents have the opportunity to provide information about their child by completing the Scales for Identifying Gifted Students (SIGS). We welcome and value your feedback. To complete the questionnaire, please choose the correct link below and copy/paste it into a new web browser. English SIGS - https://bit.ly/3f4QZXd Spanish SIGS - https://bit.ly/3f5YxsK This year we are considering offering G/T testing on Saturdays. Students would attend testing on two Saturdays in January (dates to be determined) from 8:30 to 11:30. Please choose one of the following options: Option 1: I am interested in bringing my child to a Hays CISD site for testing on Saturdays. Option 2: I would like my child to be tested during the school day.

Select your preferred testing option:

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