FORM PRINCIPAL RECOMMENDATION FOR LONG ISLAND UNIVERSITY SCHOLARS ACADEMY | SOUTHAMPTON, NY | Grades to 10 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 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 and higher are generally working a minimum of one year above grade level.) CANDIDATE’S NAME: (LAST) (FIRST) (MIDDLE) TEST RESULTS INTELLIGENCE: INDIVIDUAL TESTS WISC-V WPPSI-IV Stanford-Binet V Stanford-Binet IV Test Date GROUP TESTS Cognitive Abilities Test (COGAT) Otis-Lennon Other (Name) Test Date VCI VCI FR VR VSI VSI KN AVR FRI FRI QR QR Scores WMI WMI VS STM PSI FSIQ PSI FSIQ WM FS COMP Scores V V Q NV NV TOTAL TOTAL Note: We not accept brief or abbreviated assessment measures, e.g., VKT, Slosson, WASI, etc ACHIEVEMENT – MATHEMATICS: NATIONAL Test Date Iowa Test of Basic Skills NYS Math (Grade 4) Terra Nova TONYSS Other (Name) LOCAL % Stanine % Stanine N/A N/A N/A N/A Level N/A N/A N/A N/A ACHIEVEMENT – READING: NATIONAL Test Date Iowa Test of Basic Skills ELA (Grade 4) Terra Nova TONYSS Other (Name) LOCAL % Stanine % Stanine N/A N/A N/A N/A Level N/A N/A N/A N/A PERSONAL EVALUATION Student is is not mature and well adjusted As a student (circle one) Outstanding Above Average Average Additional Comments: Signature Print Name Date Title ... RESULTS INTELLIGENCE: INDIVIDUAL TESTS WISC-V WPPSI-IV Stanford-Binet V Stanford-Binet IV Test Date GROUP TESTS Cognitive Abilities Test (COGAT) Otis-Lennon Other (Name) Test Date VCI VCI FR VR