PCGE Parent Form

Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n
Genius has no country. It blossoms everywhere.

It is like the light, the air. It is the heritage of all.
-Dr. Jose P. Rizal
Dear Sir/Maam,
Mabuhay!
The Philippine Center for Gifted Education is very pleased to offer you services for you and your
child(ren). We aim to give you the best help we can offer.
In order to do this, please fill out the forms below. Answer the questions that you feel are appropriate for
you and your concern(s). You need not answer everything. These forms will be reviewed by the PCGE
President and/or advisory board members for advise/recommendation(s). After submission of the
accomplished forms to pcgeincassessment@gmail.com, please give us at least seven (7) working
days to respond via email. We would like you to know that all documents you submit will be kept
confidential.
Should you have question(s) or point(s) of clarification, please feel free to email us, give us a call or send
us a message via text.
Again, thank you very much and we hope to be of service to you.
Sincerely,
MS. AMMIE DEL REY
Executive Assistant
Unit 1004 City & Land Mega Plaza Bldg., ADB Ave. cor Garnet Rd., Ortigas Center, Pasig City
www.pcgeinc.com | pcgeinc@gmail.com | (+632)544 0352 | (+63)9178683948

-Dr. Jose P. Rizal

Name of Parent:
Nickname:
Home Address:
Age:
Civil Status:
Landline No:
Religion:
Nationality:
Mobile No:
Occupation/Profession:
Institution/Company:
Email Address:
Name of Child(ren):
No. of child(ren):
Age(s):
Nickname:
1.
2.
3.
4.
5.
Name of child(ren) you wish to be assessed:
1.
Why would you want your child to be assessed?(Reason(s) for the request for childs assessment)

-Dr. Jose P. Rizal

FORMAL ASSESSMENT ADMINISTERED TO THE CHILD
(Objective assessment/identification)
The following are some of the objective types of assessment/identification. Please check ALL
items that were taken by/administered to your child. (Ang mga sumusunod ay mga Objective Types
of Assessment/Identification o pagsusuri. Piliin ang LAHAT ng mga naisagawa na sa inyong anak).
! Standardized test(s)
! Individual IQ and other culturally appropriate
measures of ability
! Group IQ
!
!
!
!
School assessment product/performance

Rating scales
Creative tests
Competitions (local, national, international)
Kindly fill out the table below with the name of psychological/assessment tests administered to
the child, date administered, the results and recommendations (if any), and the name of the
professional who administered the test(s). Also, kindly include the name/title of local/national/
international competition(s) where your child has received an award/recognition, the date of
competition, the award/recognition received, and the award-giving body who gave the
award/recognition. (Ilagay sa table lahat ng psychological/assessment tests na naisagawa na sa
inyong anak, kalian ito naisagawa, ang resulta, at kung sino ang nagsagawa ng pagsusuri.)
Thank you.
Name of Test Taken
Date when test

was taken
Test Results &

Recommendations
Name of Professional
who administered
the test
Name of Competition joined
Date of
Competition
Award/Recognition Received
Award-Giving Body
Note: You may use a separate sheet.

-Dr. Jose P. Rizal

PARENT/CAREGIVER NOMINATION (FORM 1)
Students Name: _________________________________________________ Grade/Year Level: _____________
Person completing the form:_____________________________________________________________________
Relationship to student: ________________________________________________________________________
Characteristics
Most of the
Time
Some of
the time
Rarely
1. Recalls facts easily

2. Expresses ones self fluently
3. Is always asking questions
4. Has a sense of humour
5. Finds unusual uses of things
6. Tends to lead/initiate activities
7. Is curious
8. Has long attention span
9. Is easily bored
10. is an avid reader
11. Thinks logically
12. Mixes with older children and adults
13. Is impulsive
14. Is an independent learning
15. Is concerned about world issues
When did your child first begin to read? Is he/she self-taught?

At what age did your child show an understanding of numbers, puzzles and patterns?
How many books and magazines would your child voluntarily read in a month?
Does your child have any unusual interests? If so, what are they?
What types of television programs does your child like to watch?
Does your child have an interest in music? If so, what is he or she learning and what level has been attained?
In what activities does your child participate outside school hours?
What hobbies and interests does your child have?
Would you consider that your child has a particular problem or need that may affect his or her learning?
Please add any other information you may feel relevant to your childs education. (You may use a separate sheet if
needed.)

-Dr. Jose P. Rizal
Parent Observation Form

Date/Year;
Observation
Age of child
[Commendable/ unusual / advanced / outstanding

skill(s) or characteristic(s) observed]
Example:
Example:
2010, child is 2 years old
He started reading. No one taught him. He was able to read all by himself.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n

Genius has no country. It blossoms everywhere.

Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n

Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n

School assessment product/performance

Date when test

Test Results &

Name of Competition joined

Note: You may use a separate sheet.

Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n

1. Recalls facts easily

When did your child first begin to read? Is he/she self-taught?

Th e P h ilip p in e C e n te r fo r G ifte d Ed u c a tio n

Parent Observation Form

[Commendable/ unusual / advanced / outstanding

2010, child is 2 years old

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