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Please fill out the Teacher Nomination Form.  This is your time to provide any and all information about your student that you feel would be helpful in the process.


 

Please send completed forms (Nomination & questionnaire) to:  

El Dorado Gifted and Talented Department

505 Dixie Drive

El Dorado, AR 71730


 

Or, you can scan them and send them by email to 

katie.king@esd-15.org 

brandy.purifoy@esd-15.org.

 

Or, just hit                      below the form and it will automatically go to the GT office.


 

If you have any questions, please feel free to call (870) 864-5081. 

 

** Once you request testing for services for a student, we must receive permission to evaluate from the parent(s) or guardian before the identification process can begin.  We may ask for your assistance, at some point, in getting that permission if we are unable.     

 

We take Requests year round.  The initial referral window opens on the first day of school and remains open until September 30.  Parents, teachers, administrators, and counselors may refer students who are not receiving Gifted and Talented services for evaluation if they believe the student exhibits characteristics indicating giftedness.  Students may also refer themselves.  Testing will follow once permission to test forms have been received from the student's parent/guardian.

 

A second referral window will be available starting October 1 and will go through the end of the fall semester for any student who enrolls in the District after the closing of the initial fall nomination window or for those who the teacher becomes aware of that they feel exhibits characteristics that could lead to giftedness.  Testing of these students will begin the first two weeks of January.

 

A third testing window begins in January and goes throughout April.  Any nominations received in May will be tested as time allows, but may be moved to the first testing window of the next school year.    




 

El Dorado School District Gifted & Talented Program

 Nomination Form 

 

Date _________________

 

Student's Full Name ____________________________________________________ 

 

School _________________________________Grade ___ Teacher ______________ 

 

Birth Date ________________  Age ___ 

 

Current Address 

Street  ___________________________________ City __________ Zip Code ______ 

 

Phone # __________________________ 

 

Email Address _____________________


 

Do you believe that the student’s parents will need paperwork in an additional language? 

 

_____Yes   _____No   ** If yes, which? __________________________________

 

Please list detailed and specific information on why you feel this student should be evaluated for gifted services. 

 

____________________________________________________________________________________________

____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

_____________________________________________________________________________________________

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