Swain County Administrative Unit AIG 2014
Swain County Schools AIG Program
Nomination Form by Teacher
Student Name______
Current School Year______Current Grade______Current School______
Nominated by______Date of Nomination______
Observed Gifted Characteristics by a Teacher / Score:______Achievement Tests -EOCs/EOGs
English Language Arts
Math
Science / ______%ile/ _____GL ; ______%ile/ _____GL; ______%ile/ _____GL
______%ile/ _____GL ; ______%ile/ _____GL; ______%ile/ _____GL
______%ile/ _____GL: ______%ile/ _____GL; ______%ile/ _____GL
Other Standardized Tests**
English
Reading
Math
Science / Test Name:______
______
______
______
______
IQ Range of 120 (+/- 2) Full Scale or
120 or above on individual subtests:
Verbal
Perceptual Reasoning / ______Score/______GL; ______Score/______GL;
______%ile/______GL; ______%ile/______GL
______%ile/______GL; ______%ile/______GL
Performance in Core Academics
(Report card grades and grade level)
English Language Arts
Math
Science
Social Studies
/ Grade GL Grade GL Grade GL
______; ______; ______;
______; ______; ______;
______; ______; ______;
______; ______; ______;
Traits, Attributes and Behaviors of Gifted Students: Copyrighted by M. Fraiser and adapted for Swain County Schools by SLR with permission
Characteristics Very Strong Above Average Average Below Average Not Observed
Communication Skills 10 9 8 7 6 5 4 3 2 1 0
Self Motivation 10 9 8 7 6 5 4 3 2 1 0
Problem-Solving 10 9 8 7 6 5 4 3 2 1 0
Inquiry 10 9 8 7 6 5 4 3 2 1 0
Insight 10 9 8 7 6 5 4 3 2 1 0
Interests 10 9 8 7 6 5 4 3 2 1 0
Humor 10 9 8 7 6 5 4 3 2 1 0
Memory 10 9 8 7 6 5 4 3 2 1 0
Reasoning 10 9 8 7 6 5 4 3 2 1 0
Imagination/Creativity 10 9 8 7 6 5 4 3 2 1 0
Please choose 3 of the student’s strongest areas indicated on the TAB chart above and provide descriptions of exactly what you have observed. Attach additional pages if necessary.
Trait:______Observation______
Trait:______Observation______
Trait:______Observation______