Application Form 1 Student Information2 Parent/Guardian Information3 Parent Questionnaire Student InformationSurname*Given Name*Year to Commence*Current Year Level*Date of Birth* Age*GenderMaleFemaleResidential Address* Street Address Address Line 2 City State ZIP / Postal Code Postal Address Same as Residential Address Street Address Address Line 2 City State ZIP / Postal Code Parent/Guardian InformationSurname*Given Name*Contact Number*Mobile NumberEmail*Contact Address* Street Address Address Line 2 City State ZIP / Postal Code Supporting EvidenceProvision of evidence in support of the child’s giftedness is part of the application process. Please ensure a minimum of ONE criterion from EACH section is addressed where possible and evidence is attached. Please tick the applicable box/boxes.Cognitive Ability* Psychologists report Woodstock Johns III WISC AGAT MYAT Stanford-Binet MENSA Member Other OtherAchievement Test(s) NAPLAN UNSW PAT Reading Comprehension PAT Math’s ICAS competitions Olympiad Competitions Australian Math’s Competition Other OtherAnecdotal* Current school report Parent Nomination Student Nomination Teacher Nomination Other OtherFile Upload Drop files here or Please attach documents for each section ticked above.CommentsThis field is for validation purposes and should be left unchanged.
