Jacob K. Javits

______

Note:Over years, terminology and practice change as we learn more and more about gifted/talented students and their needs. This product, created in 2001, is being offered not as researched best practice or even as a model to be copied, but as an example and a starting point that may be useful to districts as they develop their own equitable identification procedures. Districts are encouraged to modify all or part of the assessment instruments, processes, or forms. If modified, please add the following line of credit, “Adapted from RegionOneEducationServiceCenter, Jacob K. Javits Grant Materials.”

______

RegionOneEducationServiceCenter

Jacob K. Javits

Bilingual/Gifted & Talented

Education Model

Assessment Instruments

September 2001

Developed by the United States Department of Education

Jacob K. Javits Grant

Under the Direction of RegionOneEducationServiceCenter

Edinburg, Texas

Jacob K. Javits

Bilingual/Gifted and Talented Education Model

1999-2000

Assessment Instruments

Developed by:

Juanita Navarro, Project Coordinator

Patricia Rendon, Resource Specialist

In collaboration with:

Edcouch-ElsaIndependentSchool District

Ron Cavazos, Special Populations Coordinator

Frances Rocha, Elementary Curriculum Director

La FeriaIndependentSchool District

Sonya Sinsebox, Curriculum Director

La VillaIndependentSchool District

Sam Gonzalez, Federal Program Director

and

Dr. Ernesto Bernal ~ Project Evaluator

Dr. Jeanie Goertz ~ Curriculum Consultant

Dr. Linda Silverman ~ Identification/Assessment Consultant

RegionOneEducationServiceCenter

Board of Directors

1999-2000

Arnulfo C. Olivarez, Chairman

Place 5 – Harlingen

Noe R. Sanchez, Vice-Chairman

Place 2 - Rio GrandeCity

Alicia E. Requenez, Secretary

Place 1 – Mission

Richard R. Cantu

Place 4 – Edinburg

Hector Galindo

Place 7 – Raymondville

Adan C. Lopez

Place 6 - Los Fresnos

Mernice E. Newton

Place 3 - Laredo

2001-2002

Mr. Mernice E. Newton, Chairman

Place 3 – Laredo

Mr. Hector Galindo, Vice Chairman

Place 7 – Raymondville

Dr. Manuel Gomez Jr., Secretary

Place 6 – Harlingen

Mr. Richard R. Cantu, Board Member

Place 4- Edinburg

Mr. Arnulfo C- Olivarez, Board Member

Place 5 – Harlingen

Mrs. Alicia E. Requenez, Board Member

Place 1 - La Joya

Mr. Noe R. Sanchez, Board Member

Place 2 - Rio GrandeCity

RegionOneEducationServiceCenter

Administration

2001-2002

Dr. Sylvia R. Hatton

Executive Director

Dr. Ellen M. Gonzalez

Associate Executive Director-Instructional Support

M. Roel Peña

Associate Executive Director-Administrative & School Support

Acknowledgements

The Assessment and Identification Instruments presented in this manual were developed as part of the Jacob K. Javits Bilingual/Gifted and Talented Education Model funded by the United States Department of Education, Office of Educational Research and Improvement Jacob K. Javits Program. A major component of the project was to collaborate with the participating districts to review, evaluate and use traditional and non-traditional assessments and identification processes among potentially gifted and talented students.

We wish to commend the members of the Assessment Committee who under the leadership of Dr. Linda Silverman, Director of the Gifted Child Development Center, were instrumental in providing an innovative approach of identifying underrepresented and underserved limited English proficient and disabled students. Region One Education Service Center Education Specialists Janie Navarro, Linda Phemister, and Patricia Rendon, in cooperation with administrators, counselors, teachers and parents from Edcouch-Elsa Independent School District, La Feria Independent School District, and La Villa Independent School District collaborated in this endeavor to ensure that the instruments were designed to reflect the cultural, social and linguistic background of the students in the South Texas.

Assessment

Process

1

Parent

Nomination

4 Parent

Interview /

10 Teacher

Nomination /

17 Teacher

Checklist /

19

Coordinator
Nomination Form / 26
Developmental
Questionnaire / 30
Portfolio
Pre K – 2nd Grade / 36
Student Interview
3rd – 5th Grade / 40
Peer Nomination Form
3rd – 5th Grade / 46
Self-Nomination Form
3rd – 5th Grade / 52
Student Profile / 56

Assessment Process

Assessment Process
Assessment Process for

Jacob K. Javits Grant

Pre-K – 2nd

Screening

Parent Nomination

Teacher Nomination

Siblings in Gifted Program

Nomination by G/T Coordinator

Guidelines

The Parent Nomination Form is sent home in Spanish and English to all parents of children from pre-Kindergarten through 5th grade. Teachers complete the Teacher Nomination Form for as many of their students as they wish.

If a student:

receives a parent nomination or

receives a teacher nomination or

has a sibling identified as gifted or

has been observed and interviewed by the G/T Coordinator and appears to be a good

candidate for the program,

the student is qualified to participate in the identification procedures.

Identification

Structured Interview with Parents in Spanish or English

Developmental Questionnaire

Teacher Checklist

Naglieri Nonverbal Abilities Test (NNAT) or Raven’s Coloured Progressive Matrices

Portfolio Assessment

Guidelines

The mental abilities test should be administered by a qualified examiner. To be placed in the program, the student must pass 4 of the following 5 qualifications:

(1)score at the 85th percentile or above on the mental abilities test;

(2)fit 18 of the 24 descriptors in the Parent Interview Form;

(3)fit 18 of the 25 descriptors on the Teacher Checklist;

(4)have shown advancement in 7 of the 13 developmental milestones;

(5)demonstrate talent in story-telling, art, construction, or in any other domain according to the criteria outlined in the portfolio assessment.

Conditional placement may be granted for up to one semester upon recommendation of parent, teacher, counselor, principal, gifted/talented coordinator, or identification committee, if a child meets at least 50% of the criteria.

Assessment Process for

Jacob K. Javits Grant

3rd – 5th Grades

Screening

Parent Nomination

Teacher Nomination

Siblings in gifted program

Peer Nomination Form

Self-Nomination Form

Nomination by G/T Coordinator

Guidelines

If a student:

receives a parent nomination or

receives a teacher nomination or

has a sibling identified as gifted or

receives 4 peer nominations or

receives a rating of 4 or higher on the Self-Nomination Form or

has been observed and interviewed by the G/T Coordinator and appears to be a good

candidate for the program,

the student is qualified to participate in the identification procedures.

Identification

Structured Interview with Parents in Spanish or English

Naglieri Nonverbal Abilities Test (NNAT) or Raven’s Coloured Progressive Matrices

Teacher Checklist

Student Interview

Guidelines

The mental abilities test should be administered by a qualified examiner. To be placed in the program, the student must pass 3 of the following 4 qualifications:

(1)score at the 85th percentile or above on the mental abilities test;

(2)fit 18 of the 24 descriptors in the Parent Interview;

(3)fit 18 of the 25 descriptors on the Teacher Checklist;

(4)achieve a rating of 4 or higher in the combined assessment of two trained interviewers.

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Parent Nomination

Jacob K. Javits Grant

Parent Nomination

Pre-K – 5th Grade

Directions to Identification Committee for the Parent Nomination:

The child must fit 9 of the 12 characteristics, according to parental report, and to have exhibited valid indicators of each characteristic, in order to qualify in this section of the screening procedures. If the child qualifies, conduct a personal interview with the longer form consisting of 24 items and request a developmental history of the child (for children Pre-K – 2nd).

All qualifying students should be administered a mental abilities test . For children in grades Pre-K through 2nd grade, a portfolio should be requested from the teacher including demonstrations of the child’s advanced abilities. For children in grades 3, 4 and 5, a student interview should be conducted.

Jacob K. Javits Grant

Parent Nomination

Pre-K – 5th Grade

Directions to Parents:

Part A

Please complete this form if you have observed some of the characteristics of giftedness listed. Mark “Sometimes” or “Most of the Time” for each descriptor. If you marked “Most of the Time” please give an example of how your son or daughter has shown this characteristic in the space provided.

Part B

Please check “Yes” or “No” to each question.

Please sign and date the form.

Thank you.

Instrucciones para padres:

Parte A.

Favor de llenar esta forma si ha observado algunas características de niños dotados y talentosos.

Marque “A veces” o “Casi siempre” para cada característica. Si marca “Casi siempre” favor de anotar en el espacio ejemplos de cómo su niño o niña ha demostrado esa característica.

Parte B.

Favor de marcar “Sí” o “No” para cada pregunta.

Favor de firmar y fechar la forma.

Gracias.

Jacob K. Javits Grant

Parent Nomination (Encuesta para los padres)

Pre-K—5th Grade (Pre-K—5° Grado)

Parent or Guardian______Interviewer______Date______

Padre o guardián Entrevistador Fecha

Name of Child ______Age _____ Birthdate ______

Nombre del estudiante Edad Fecha de nacimiento

Description of the Program: The Bilingual Gifted and Talented Program was developed to help students learn at a faster pace and do advanced work in both English and Spanish. It will enable students to take leadership roles in two cultures. Students will be expected to develop oral and written skills in both languages and to do advanced work in mathematics.

Descripción del programa: El programa para estudiantes bilingües dotados y talentosos fue diseñado para ayudar a los participantes aprender en una forma más acelerada en inglés y español. Les facilita a los estudiantes que tomen el papel de líderes en dos culturas. Se espera que los estudiantes desarrollen destrezas en la comunicación oral y escrita en dos idiomas y hagan trabajo avanzado en matemáticas.

Please read the following characteristics and see if they describe your child. Mark “Sometimes” or “Most of the Time” for each characteristic. Please give an example when you mark “Most of the Time.” If you need assistance, you may request an interview.

Favor de leer las siguientes características. Marque “A veces” o “Casi siempre” según se apliquen a su niño o niña.Favor de anotar ejemplos cuando marque “Casi siempre”.

Si necesita ayuda, puede pedir una entrevista.

Characteristics/Características / Sometimes
A veces / Most of the Time
Casi siempre
1. / Learns Rapidly
Aprende rápidamente
2. / Creative or inventive
Es creativo o inventivo
3. / Defends own ideas
Defiende ideas propias
4. / Independent
Es independiente
5. / Responsible
Es responsable
6. / Excellent memory
Tiene excelente memoria
7. / Concerned with fairness
Le preocupa la justicia
8. / Asks for information
Pide información
9. / Leader
Es líder
Characteristics/Características / Sometimes
A veces / Most of the Time
Casi siempre
10. / Prefers older friends or adults
Prefiere amigos mayores o adultos
11. / Wide range of interests
Tiene muchos intereses
12. / Large vocabulary in dominant language
Tiene un vocabulario extenso en el idioma dominante

Do you have other children who have been identified as gifted and talented?

Yes _____No _____

¿Tiene otros niños que han sido identificados como dotados y talentosos?

Sí _____No _____

Are any of them receiving services in the gifted and talented program?

Yes _____No _____

¿Están recibiendo servicios en el programa para estudiantes dotados y talentosos?

Sí _____No _____

Signature of parent or guardian ______Date ______

Firma del padre o guardián Fecha

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Parent Interview

Jacob K. Javits Grant

Parent Interview

Pre-K – 5th Grade

Directions to the Identification Committee for the Parent Interview:

The child qualifies on this instrument if he or she fits 18 of the characteristics. All qualifying students should be administered a mental abilities test. For children in grades Pre-K through 2nd, parents should complete a developmental history* (which may be done at the time of the interview), the teacher should complete the checklist, and a portfolio should be requested from the teacher that includes demonstrations of the child’s advanced abilities. For children in grade 3, 4, or 5, a student interview should be conducted.

*If the parent does not have developmental information, eliminate this section and use 3 out of the 4 remaining criteria.

Jacob K. Javits Grant

Parent Interview

Pre-K – 5th Grade

Directions to Interviewers:

Parents of all children from Pre-Kindergarten through fifth grade who have been nominated by any means as potentially gifted are to be interviewed in their native language. This instrument was designed to be read to parents in Spanish, with the interviewer recording parental responses in the spaces below each item. Briefly describe the purposes of the program to the parent. It is permissible for the interviewer to elaborate each concept or to provide examples if the parent is unclear about the meaning of a descriptor. Mark “Sometimes” or “Most of the Time.” For each item that the parent responds “Most of the Time” or “Always,” ask for an example of the child’s behavior. The child must fit 18 of the 24 characteristics, according to parental report, and to have exhibited valid indicators of each characteristic, in the judgment of the interviewer, in order to qualify in this section of the identification procedures.

Make sure that the parent or guardian signs and dates the form.

Thank you.

Jacob K. Javits Grant

Parent Interview (Entrevista de padres)

Pre-K—5th Grade (Pre-K—5° Grado)

Parent or Guardian______Interviewer______Date______

Padre o guardián Entrevistador Fecha

Name of Child ______Age _____ Birthdate ______

Nombre del estudiante Edad Fecha de nacimiento

It is important to gather this information so that we can serve your child better. The information will be shared with your child’s teacher. Please mark the degree to which these characteristics apply to your child. Please give an example when you mark “Most of the Time.”

Es importante coleccionar ésta información para poder ayudar a su niño eficazmente. La información será compartida con la maesta de su niño. Favor de marcar el nivel en el cual estas características apliquen a su niño o niña. Favor de anotar ejemplos cuando marque “Casi simpre.”

Characteristics/Características / Sometimes
A veces / Most of the Time
Casi siempre
1. / Learns rapidly
Aprende rápidamente
2. / Creative or inventive
Es creativo o inventivo
3. / Defends own ideas
Defiende ideas propias
4. / Independent
Es independiente
5. / Responsible
Es responsable
6. / Excellent memory
Tiene excelente memoria
7. / Concerned with fairness
Le preocupa la justicia
8. / Asks for information
Pide información
9. / Leader
Es líder
10. / Prefers older friends or adults
Prefiere amigos mayores o adultos
11. / Wide range of interests
Tiene muchos intereses
12. / Large vocabulary in dominant language
Tiene un vocabulario extenso en el idioma dominante
13. / Thinking is more mature than others his or her age
Su pensamiento es más maduro que el de sus semejantes
14. / Artistic
Es artístico
15. / Reasons well
Razona bien
16. / Understands jokes
Entiende chistes
17. / Good with numbers
Es listo con números
18. / Good with puzzles
Eslisto con rompecabezas
19. / Long attention span in areas of interest
Mantiene atención por tiempo prolongado con temas de interés
20. / Chosen by others to help
Otros lo escogen para ayudar
21. / Communicates well with adults
Se comunica bien con adultos
22. / Usually shows mature judgment
Por lo general demuestra buen juico
23. / Learned second language quickly
Aprendió inglés rápidamente / No
No / Yes
Sí
24. / Early reader
Fue lector temprano / No
No / Yes
Sí

Signature of parent or guardian ______Date ______

Firma del padre o guardián Fecha

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Teacher Nomination Form

Teacher Nomination

Jacob K. Javits Grant

Teacher Nomination Form

(Pre-K – 5th Grade)

Name ______Grade______Date ______ID# ______

Teacher’s Signature ______

Directions: Place a check by the characteristics you have observed for this student.

Characteristics

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Teacher Nomination Form

Learns rapidly

Creative or inventive

Defends own ideas
Independent
Responsible

Excellent memory

Concerned with fairness
Asks for information
Leader

Prefers older friends or adults
Wide range of interests

Large vocabulary in dominant language

Thinking is more mature than others his or her age
Artistic

Reasons well

Understands jokes
Good with numbers
Good with puzzles
Long attention span in areas of interest
Chosen by others to help
Communicates well with adults
Usually shows mature judgment

Is a quiet thinker

Learned second language quickly

Early reader

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Teacher Nomination

I nominate this child for the gifted/talented program because:

If you have placed a check () by 18 or more characteristics, please complete the Teacher Checklist.

RegionOneEducationServiceCenter

Jacob K. Javits Grant

Teacher Checklist

Jacob K. Javits Grant

Teacher Checklist

Pre-K- 5th Grade

Directions to Identification Committee for the Teacher Checklist:

Students qualify for this section of the screening procedure if they fit 18 of the 25 descriptors listed. All qualifying students should be administered a mental abilities test. For children in grades Pre-K through 2nd, a portfolio should be requested from the teacher that includes demonstrations of the child's advanced abilities. In addition, a developmental history should be collected from the child's parents and a parent interview should be conducted in the parent's native language. For children in grades 3, 4 and 5, a student interview should be conducted.

Jacob K. Javits Grant

Teacher Checklist

Pre-K-5th Grade

Directions to Teachers:

Please complete this form for each student in your class who displays some of the characteristics of giftedness indicated on this form. Mark "Sometimes" or "Most of the Time" for each item. If you mark "Most of the Time" try to give an example of this trait in the space below the item. It is not necessary to include an example for each characteristic marked.

Please include the student's name, grade and identification number, along with the date and your signature at the top of the form.

If the student is new to your class, but another teacher has had more experience with him or her, please ask the student's previous teacher to complete the form.

Thank you.

Jacob K. Javits Grant

Teacher Checklist

(Pre-K-5thGrade)

Name Grade Date ID#

Teacher's Signature

Please mark the degree to which these characteristics apply to the student. Please give an example when you mark “Most of the Time.”

Characteristics / Sometimes / Most of the Time
1. Learns rapidly
2. Creative or inventive
3. Defends own ideas
4. Independent
5. Responsible
6. Excellent memory
Characteristics / Sometimes / Most of the Time
7. Concerned with fairness
8. Asks for information
9. Leader
10. Prefers older friends or adults
11. Wide range of interests
12. Large vocabulary in dominant language
13. Thinking is more mature than others his or her age
14. Artistic
Characteristics / Sometimes / Most of the Time
15. Reasons well
16. Understands jokes
17. Good with numbers
18. Good with puzzles
19. Long attention span in areas of interest
20. Chosen by others to help
21. Communicates well with adults
22. Usually shows mature judgment
Characteristics / Sometimes / Most of the Time
23. Is a quiet thinker
24. Learned second language quickly / No / Yes
No / Sí
25. Early reader / No / Yes
No / Sí