Parent
Referral
Primary
Talent
Pool
Shelby County Public Schools | P. O. Box 159 | 1155 West Main Street | Shelbyville, KY
40066-0159
Phone: 502-633-2375 | Fax: 502-633-1988
November 10, 2014
Dear Parent,
You indicated your interest in referring your child to the Primary Talent Pool. At this time, we
would like for you to review the attached descriptions of the gifted areas and consider whether
you think your child could be 'potentially gifted' in one or more of these areas. It is very
important you indicate which area(s) reflect your child's strengths.
Please fill out the attached documents to help us in our consideration of your child. You may
wish to send work samples, art samples, anecdotal stories, tapes, etc that you think would be
helpful. If you do send these samples, be sure to send copies rather than the originals since
these materials will not be returned to you.
Be sure to return these forms to your child's teacher by December 1, 2014.
Thank you for your thoughtful consideration of your child's potential abilities. If you have any
questions, please contact your child's school.
Sincerely,
School Based Gifted Review Committee
Shelby County Public Schools | P. O. Box 159 | 1155 West Main Street | Shelbyville, KY
40066-0159
Phone: 502-633-2375 | Fax: 502-633-1988
Shelby County Public Schools
Parent Referral Form
for Primary Talent Pool
Student's Name:
Date of Birth:
Parent's Name:
Daytime Phone:
Present School:
School for next year:
Present Teacher's Name:
Grade for next year- please circle one:
1
2
3
You may refer your child in any of the areas listed below, please mark your area(s) of referral with a checkmark (J)
 GENERAL INTELLECTUAL ABILITY
 SPECIFIC ACADEMIC APTITUDE
__Language Arts
___Math
 CREATIVE THINKING ABILITY
 LEADERSHIP ABILITY
(Must attach one or more letters from someone other than a family member describing your child's
Leadership Ability)
 VISUAL ARTS ABILITY (DRAWING/PAINTING/SCULPTURE)
 PERFORMING ARTS ABILITY
___Music What Instrument?
_Vocal Music
_Dance
_Drama
PLEASE RETURN ALL REQUIRED INFORMATIONTO YOUR CHILD'S SCHOOL BY
THE DEADLINE.
Shelby County Public Schools | P. O. Box 159 | 1155 West Main Street | Shelbyville, KY
40066-0159
Phone: 502-633-2375 | Fax: 502-633-1988
Descriptions of Gifted Domains
Domain: General Intellectual Ability means that students possess (a) either potential (Primary Talent
Pool) or the demonstrated ability (in grades 4 thru 12) to perform at an exceptionally high level in
general intellectual ability, which is usually reflected in extraordinary performance in a variety of
cognitive areas, such as abstract reasoning, logical reasoning, social awareness, memory, nonverbal
ability and the analysis, synthesis, and evaluation of information; and (b) a consistently outstanding
mental capacity as compared to children of one's age, experience, or environment.
Domain: Specific Academic Aptitude means that students possess either potential (Primary Talent
Pool) or demonstrated ability (in grades 4 thru 12) to perform at an exceptionally high level in one (1),
or very few related, specific academic areas significantly beyond the age, experience or environment
of one's chronological peers.
Domain: Creative Thinking means that students possess either potential
(Primary Talent Pool) or the demonstrated ability (in grades 4 thru 12) to perform at an exceptionally
high level in creative thinking and divergent approaches to conventional tasks as shown by innovative
or creative reasoning, advanced insight and imagination, and solving problems in unique ways.
Domain: Leadership Ability means that students possess either potential (Primary Talent Pool) or
demonstrated ability (in grades 4 thru 12) to perform at an exceptionally high level in social skills
and interpersonal qualities such as poise, effective oral and written expression, managerial ability,
and the ability, or vision, to set goals and organize others to successfully reach those goals.
Domain: Visual or Performing Arts Ability means that students possess either potential (Primary Talent
Pool) or demonstrated ability (in grades 4 thru 12) to perform at an exceptionally high level in the visual
or performing arts and demonstration the potential for outstanding aesthetic production, accomplishment,
or creativity in visual art, dance, vocal or instrumental music, or drama.
Definitions:
Primary Talent Pool means a group of primary age students informally selected as having
characteristics and behaviors of high potential learners.
Demonstrated ability in grades 4 thru 12 means that students entering these grades or enrolled in these
grade levels must go through a process of formal identification and are diagnosed as having gifted
characteristics and behaviors specific to a domain or category of giftedness.
1/03
Shelby County Public Schools | P. O. Box 159 | 1155 West Main Street | Shelbyville, KY
40066-0159
Phone: 502-633-2375 | Fax: 502-633-1988
TALENTED AND GIFTED (TAG) PARENT INVENTORY
CHILD'S NAME __________________________________ SCHOOL ________________________ GRADE _________
DIRECTIONS: Please read the ratings and check the appropriate column for each item.
NIA- the item does not apply to your child, is not of interest to your child, or is not a priority for your child at this time.
Need- something that you think is a priority for your child to be able to do or to improve within a short time. Interest- something
that your child especially enjoys.
Ability- something that your child is able to do very well.
N/A
Need
Interest
Ability
Plans ahead
Completes assigned tasks without supervision
Organizes study time and/or materials
Sets goals
Makes friends easily
Adapts/adjusts to new situations quickly
Enjoys group work/projects
Prefers working independently
Writes for enjoyment
Reads for enjoyment?
What types of books?
Enjoys playing various games?
What kinds of games?
Enjoys working puzzles?
What kinds of puzzles?
Enjoys communicating ideas verbally
Uses Computers/Technology
Assumes leadership roles & responsibilities
Generates many ideas/solutions to problems
Makes generalizations easily
Recalls facts easily
Knows a lot of information about many topics
Knows a lot of information about a specific topic. What subject?
Excels in areas outside the regular school
curriculum? What areas?
If your child is interested in any hobbies or special areas, please list them: If your child is interested in art, music, or drama, etc., please describe
projects or performances that highlight your child's interests or abilities: On the back of this inventory, please provide any additional information about
your child that was not covered within this survey.
Signature of person completing checklist_______________________________Date ____________
Shelby County Public Schools | P. O. Box 159 | 1155 West Main Street | Shelbyville, KY
40066-0159
Phone: 502-633-2375 | Fax: 502-633-1988