PG Retreat New Family Application

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Contact information

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Family members

Because PG Retreat is a family event supporting the social-emotional needs of profoundly gifted children, as well as those of their parents and siblings, please list all family members who may attend.

Parents / Guardians

	First	Last

Children

	First	Last	Birthdate

For the following sections, please provide information regarding your profoundly gifted child or children, and what you seek to gain from your family attending PG Retreat. As a gathering of families, as opposed to a professionally operated camp, we generally do not take the approach of "accepting" or "rejecting" applicants. Rather, we seek information to help us advise you as to whether your family would likely benefit from attending PG Retreat, as well as to gain a better understanding of how you would fit into the overall community.

Background

Please help us to get to know each child in your family. Tell us a little about their characteristics, hobbies, and intellectual interests, especially those that reflect how being (profoundly) gifted shapes who and how they are.

Did your child reach any developmental milestones early? If so, please tell us a couple of short anecdotes describing an early milestone that may have surprised you or people you know.

List your child's participation in any gifted organizations, summer enrichment programs, extracurricular activities and other relevant memberships.

Expectations

Please describe how you heard about PG Retreat.

Please describe what you are hoping you and your child/children will gain from PG Retreat and describe any expectations you may have.

Assessments

Please provide the results from any intelligence testing your child has taken. List tests, scores, and testing administrators.

Please attach your child's intelligence test report(s) here. If you cannot attach them, please contact application@pgretreat.com to make other arrangements.

For scores not indicative of PG levels, please describe any relevant extenuating factors such as ceilings, large spreads, or twice-exceptional issues.

Please provide the results of any additional standardized aptitude or achievement testing your child has taken. List tests, scores, and age when taken:

Please describe any challenges your child has faced as a result of being profoundly gifted, including socially, emotionally, academically, etc. Discuss any challenges you have has as a parent raising a profoundly gifted child:

Describe your child's current educational environment, along with any significant changes in environment. Identify the setting(s), such as public, private, parochial, homeschool, or community college. Describe any specialized gifted programs in which your child participates and discuss any grade acceleration undertaken.

References

References can be very helpful for your application, especially in the absence of test scores, although they are not required. Did a professional in gifted services refer you to PG Retreat? Do you have a recommendation from a teacher or other professional who knows your child(ren)’s gifted qualities? Do you have any family members or friends who are members of PG Retreat in the past? Please provide names and contact information for each reference. Indicate your permission for references to be contacted, if necessary.

Additional information

Please use this space to tell us anything else you'd like us to know about your child.

Submit your application

PG Retreat serves the unique needs of families who have profoundly gifted children. With this in mind, please review your application to ensure that you have fully answered all questions with information that will best assist the reviewers in determining the best fit between PGR and applicants.

After you have reviewed your application, click the Submit button (below) to send your application. If you have any additional documents or materials that should be reviewed with this application, please send them to application@pgretreat.com.

Thank You!

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