Nomination Form
Elkhorn Area School District strives to identify and meet the needs of our gifted and talented students. We find that peers, parents, counselors, teachers, and the student themselves provide valuable insight. You may use this form to describe a student whom you believe has exceptional gifts or talents and may need individualized educational support or opportunities. You may also include anecdotes, examples or a portfolio of products that will help in this determination. Use additional sheets if needed. Please be as thorough as possible in your responses.
All of this information should be forwarded to Julie Supernaw, GATE Coordinator, at 3 N. Jackson Street, Elkhorn, WI 53121. Questions can be directed to Julie Supernaw at 723-3160 ext. 1407 or email to [email protected].
Student Name
School Grade
Teacher
Person completing this form Date
Relationship to student
If we need to contact you where should we reach you?
Please describe the products, activities, or behaviors that suggest giftedness in this child.
Please describe your concerns about this child’s educational needs. Are his / her needs being met in the regular classroom
environment? Please explain.
All of this information should be forwarded to Julie Supernaw, GATE Coordinator, at 3 N. Jackson Street, Elkhorn, WI 53121. Questions can be directed to Julie Supernaw at 723-3160 ext. 1407 or email to [email protected].
Student Name
School Grade
Teacher
Person completing this form Date
Relationship to student
If we need to contact you where should we reach you?
Please describe the products, activities, or behaviors that suggest giftedness in this child.
Please describe your concerns about this child’s educational needs. Are his / her needs being met in the regular classroom
environment? Please explain.