University Academy - Gifted and Talented

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Email*

Date Referral Form Completed*MM/DD/YYYY Format

Scholar's name that exhibits exceptional ability or the potential to excel*

Campus Scholar Attends*

Area(s) that the scholar exhibits exceptional ability or the potential to excel*

Language Arts

Social Science/Humanities

Leadership

Mathematics

Science

Creativity

Statement of Evidence Observed in Scholar: (Statement may include superior to very superior academic strengths observed in the classroom performance, home/community, or hobbies related to the person's gifts and talents)*

Person Nominating*

Gifted and Talented Referral Form