Do not use this form to apply to a Magnet program.

APPLICATION FOR VANGUARD NEIGHBORHOOD PROGRAMS Kindergarten - 12th Grade 2013-2014

All of the required items listed below must accompany the application, which must be returned to your neighborhood school. Please mark all items you have included. Parent is responsible for submitting copies of all required data at the time of application. Previous years final report card, May/June 2012: Grades 3-12 applicants End of semester report card, January, 2013: Grades K, 1st, 2nd applicants Nationally-normed Achievement Test (Stanford/Aprenda or ITBS) within the last 12 months) Naglieri Non-verbal Ability Test-2 (NNAT-2) (current years score) Only one teacher recommendation form may be submitted per application. Only the first teacher recommendation form will be used and the online form takes precedence. *All current HISD Kindergarten and 5th graders will have their form completed online by their classroom teacher. Proof of HISD residency (current electricity, gas, or water bill, lease agreement, property tax receipt, or statement of residency) Completed application including parents signature If G/T identified, attach identification matrix and G/T status report. Any necessary testing will be scheduled by the G/T coordinator.

HISD I.D. #: _____________________ 1. 2. 3. 4. 5.

Applying for grade level: ____________________

Name of Student: ______________________________________________________________________________________________________ Last First M.I. Date of birth: Month ________ Day ________ Year ________ HISD school student zoned to attend: School currently attending: _________________________________ Current grade:__________________________________________________ Present address of parent or legal guardian (Domicile): Street Address Apt. # City State Zip Code Gender:

Male

Female

6.

Is either parent/guardian an HISD employee? attendance zone?

Yes, Dept/Campus ______________________________ No Both Parents Mother Father Other

If yes, do you live within HISDs

Yes No

7. 8.

With whom does student live as a permanent resident?

Fathers name: ________________________________________________ Fathers cell phone: ________________________________________ Fathers business phone: _______________________________________ Fathers home phone: ______________________________________

9. Mothers name: _________________________________________________ Mothers cell phone: Mothers business phone: _________________________________________Mothers home phone: _____________________________________ 10. Parent/Guardian E-mail contact: 11. In what language does your child receive instruction at school? __________________________________________________________________ 12. If your child is receiving any special services from an HISD school or any educational facility, please inform your G/T coordinator. Parents are required to provide documentation of special services with the Vanguard Neighborhood Application. Check all that apply and submit district documentation: Special Education-Full Individual Evaluation (FIE) Section 504504 Accommodation Plan Bilingual/ ESL (LEP)if not enrolled in an HISD school, complete a Home Language Survey (HLS). Federal Student Ethnicity (select one) 2012 - 2013 REDUCED INCOME CHART If your annual, monthly, or weekly salary is at or below levels listed and corresponds to household size on same row, please check: Household Size Annual Monthly 2 $27,991 $2,333 3 $35, 317 $2,944 4 $42, 643 $3, 554 5 $49, 969 $4,165 6 $57, 295 $4,775 7 $64, 621 $5,386 8 $71, 947 $5,996 For each additional family member add: +$7,326 +$611 Weekly $539 $680 $821 $961 $1,102 $1,243 $1,384 +$141

Hispanic/Latino Not Hispanic/Latino

Student Race (select all that apply) American Indian or Alaska Native Native Hawaiian/Other Pacific Islander Asian White

Black or African American Reminder: Parents are required to submit all data (report card, test scores, documentation of special services, etc.) with the signed application. Parent Name (Please Print): ____________________________________________________ Parents Signature: ______________________________________________________
Revised June 2012 HISD Advanced Academics

Date: _____________________________________
Page 1 of 2

2013-2014 HISD Vanguard Programs TEACHER RECOMMENDATION FORM

Student Name: _____________________________________

Current Grade Level: ______________________

For students currently in Kindergarten and 5th grade, this form will be completed online by the classroom teacher with collaboration from all teachers who instruct this student. For students in all other grades, this form should be completed by the current teacher, or teacher from the previous school year only. Submit only one teacher recommendation form with your application. This form must be returned in a sealed envelope signed by the teacher across the seal. Evidence of Possible Giftedness Please circle the word that best indicates the degree to which the student exhibits the following characteristics. A. General Intellectual Ability 1. Shows a preference for complex tasks and why of things 2. Has knowledge and vocabulary unusual for age or grade; has fluent verbal ability 3. Demonstrates abstract and critical thinking ability, an ability to think things out, to think things logically or analytically 4. Is a keen and alert observer; often sees more in a learning situation than others; may show evidence of long, detailed memory 5. Shows an interest in problem solving and is flexible and resourceful in problem solving 6. Has a quick grasp of concepts and underlying principles and can see relationships between ideas, events, people, and things; may ask provocative questions B. Creative Ability 1. Is curious and asks many questions 2. Produces work which is fresh, vital, and unique; creates new ideas, products, and processes; does the unexpected 3. Exhibits playfulness and a keen sense of humor; may make jokes, puns, etc. at times 4. Shows unusual capacity for concentration, imagination, and originality on tasks that interest him or her 5. Bores quickly with routine tasks, memorization of facts, and details; prefers talking about ideas and problems 6. Exhibits emotional sensitivity, expressing intense feelings 7. Enjoys variety and novelty in learning experiences
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C. Leadership Ability 1. Is self-confident with peers and adults

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2. Demonstrates a willingness for and skills in decision making 3. Is willing to take risks; tends to think independently 4. Exhibits organizational skills with tasks, peers, time, and/or materials 5. Carries responsibility well, works well in situations that require initiative and independence 6. Shows empathy and tolerance toward others; generally relates well with others 7. Can express self well; has good verbal skills and is usually well understood

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Students Name: Current Grade Level: ________ Subject Area of Instruction: Teachers Name (please print):

School: Date: Teachers Signature:

Teachers: Please return completed form to parent/applicant in sealed envelope with signature across seal.
Revised June 2012 HISD Advanced Academics Page 2 of 2