Student Profile Form / Challenge Program

Student________________________Date_____________School____________________Grade/Teacher_________________
Person Completing Form ___________________________________ Relationship to Student __________________________
The purpose of this form is to gather information in order to provide the most appropriate educational services for each student. Please consider
each of the statements on both sides of this form. Check the appropriate box to reflect whether or not it is usually applicable to this child. Check
Unsure if you do not have enough information to make a determination.
This child . . ..
began to speak at an early age compared to peers.
is curious about many things, frequently asking questions such as why?
and how?
has an outstanding memory and possesses a wealth of information.
sometimes neglects details.
learns new things quickly.
uses an advanced vocabulary in an appropriate manner.
becomes totally absorbed in activities or thoughts of interest, sometimes
to the exclusion of other activities.
is passionately interested in some topic or field of endeavor.
prefers to complete one task before moving on to another.
grasps underlying concepts and can quickly make generalizations.
is able to see relationships, including cause and effect.
comes up with better ways for doing things and suggests them to
others.
sees connections between apparently unconnected ideas and activities.
is sensitive to beauty and other peoples feelings and emotions.
has an advanced sense of justice and fairness.
has a mature sense of humor and loves to play with words and ideas.
uses creativity in storytelling.
is talented in music.
is talented in art.
is talented in drama.
is talented in movement.
Rev. 8/01

Over

Unsure

No

Yes

Evidence/Comments (list examples)

Describe this childs strength(s) as you have observed.

Describe this childs interests.

Describe this childs hobbies and/or collections.

Additional comments:

Rev. 8-01