Form 2-Principal Recommendation - pdf

FORM 2PRINCIPAL RECOMMENDATION FOR LONG ISLAND UNIVERSITY SCHOLARS ACADEMY | SOUTHAMPTON, NY | Grades 4 to 10 This form should be filled out by the principal of the child’s present schoo

FORM 2

PRINCIPAL RECOMMENDATION FOR LONG ISLAND UNIVERSITY SCHOLARS ACADEMY | SOUTHAMPTON, NY | Grades 4 to 10

This form should be filled out by the principal of the child’s present school, and the completed

form should be mailed by him or her directly to the LIU Scholars Academy in a stamped, addressed envelope provided by the parent Please attach a copy of the candidate’s latest report card to this form Form can also be scanned by the Principal and emailed to SA@liu.edu

(PLEASE PRINT OR TYPE)

CANDIDATE’S NAME:

(LAST) (FIRST) (MIDDLE)

CANDIDATE’S ADDRESS: CANDIDATE’S PHONE NUMBER: This candidate has been a student of the _School, located at _ (STREET ADDRESS) (CITY) (STATE) (ZIP)

from to

Grade level as of Sept 20

School Telephone Number

Principal email:

This is a program for high-ability children As the name implies, it is for children with noticeable academic and intellectual promise While guidelines are not fixed, scholars are usually identified

by high scores on standardized I.Q tests, strong personal interests, and superior school performance Students accepted into the program usually share most or all of the following

characteristics: scores of 125 or more on I.Q tests, high scores on achievement tests, and

exceptional school performance (e.g., pupils in grades 4 and higher are generally working a

minimum of one year above grade level.)

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RETURN TO:

Scholars Academy

School of Professional Studies

Long Island University

720 Northern Boulevard

Brookville, New York 11548-1300

Or email: SA@liu.edu

Information: 516-299-2580

CANDIDATE’S NAME:

(LAST) (FIRST) (MIDDLE)

TEST RESULTS INTELLIGENCE:

WISC-V VCI VSI FRI WMI PSI FSIQ WPPSI-IV VCI VSI FRI WMI PSI FSIQ Stanford-Binet V FR KN QR VS WM FS

Stanford-Binet IV VR AVR QR STM COMP

Cognitive Abilities Test

(COGAT) V Q NV TOTAL

Otis-Lennon V NV TOTAL

Other (Name)

Note: We do not accept brief or abbreviated assessment measures, e.g., VKT, Slosson, WASI, etc.

ACHIEVEMENT – MATHEMATICS:

NATIONAL LOCAL Test Date % Stanine % Stanine Level

ACHIEVEMENT – READING:

NATIONAL LOCAL Test Date % Stanine % Stanine Level

PERSONAL EVALUATION

1 Student is is not mature and well adjusted

2 As a student (circle one) Outstanding Above Average Average

Additional Comments:

Signature Date Print Name

Title

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