VERNON ISD GIFTED PROGRAM PARENT/COMMUNITY NOMINATION FORM

NAME OF NOMINEE: ________________________________ GRADE: ___________ DATE OF NOMINATION: ____________________ NOMINEE’S DATE OF BIRTH: ____ - ____ - _____ STUDENT’S HOMEROOM TEACHERS________________________________________________________ STUDENT’S MAILING ADDRESS____________________________________________________________ STUDENT’S HOME PHONE NUMBER________________________________________________________ PERSON MAKING NOMINATION:__________________________________________________________ RELATIONSHIP TO NOMINEE: _______________________________________ (Parent, friend, other relative, etc.) REASON FOR NOMINATION: (Briefly describe why you feel this nominee should be considered for selection in the G/T program.)

Please submit this form to the nominee’s school counselor by December 15, 2016.

Vernon Académicos Avanzados (GT) forma de Nominación Nombre del candidate______________________________________________ Grado del estudiante__________ Fecha de nacimiento___________________ Nombre de la maestra______________________________________________ Dirección del estudiante_____________________________________________ Nobre del teléfono__________________________________________________ Nombre de la persona hacienda la nominación___________________________ Relación al candidate________________________________________________ LA RAZON DE LA NOMINACION: Describa brevemente porque siente que este nominado debe ser considerado para ser seleccionado para el Programa G/T.

Please submit this form to the nominee’s school counselor by December 15, 2016.