OWjL School Form

The OWjL Program is a week-long enrichment camp held each summer at Ohio Wesleyan University for selected gifted and talented middle school students from Central Ohio. Specifically designed recreational, social, and cultural activities supplement the broad-based liberal arts curriculum. This standardized test data is a critical part of the application process.

Note: Fields marked with an asterisk (*) are required.

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Student Contact Information
* Student Full Name:
Parent Name:
Parent Phone Number:
Parent Email Address:

Student Academic Information
* Grade:
* School:
Table A: AREA IDENTIFIED
ONLY
complete Table A if the student has been OFFICIALLY IDENTIFIED AS GIFTED IN THE AREAS OF MATH, READING, OR SUPERIOR COGNITIVE according to the State of Ohio Guidelines. If the student has not been officially identified in one or more of these three specific areas, skip Table A and proceed to Table B. Examples: Inview, CogAT, Stanford, Terra Nova, Iowa, etc.
Area Identified Name of Test Score Date of Test
Superior Cognitive
(actual score)
Reading/Writing
(national percentile)
Math
(national percentile)
Table B: ALTERNATIVE TEST RESULTS
ONLY
complete Table B if the student has no information entered in Table A.
Ability Test Score and/or Creative Thinking Score
Name of Test:
(examples: Inview, CogAT, Stanford, Woodcok-Johnson, etc.)
Actual Score (not NP): Test Date:
Math (National Percentile)
Name of Test:
(examples: Terra Nova, Iowa, etc.)
NP: Test Date:
Reading (National Percentile)
Name of Test:
(examples: Terra Nova, Iowa, etc.)
NP: Test Date:
Social Studies (National Percentile)
Name of Test:
(examples: Terra Nova, Iowa, etc.)
NP: Test Date:
Science (National Percentile)
Name of Test:
(examples: Terra Nova, Iowa, etc.)
NP: Test Date:
AIR Math Test – 2016
Name of Test: Actual Score Test Date:
Math – American Institute for Research Spring, 2016
AIR Reading Test – 2016
Name of Test: Actual Score Test Date:
Reading – American Institute for Research Spring, 2016
If standardized test scores are not available, or if you believe the test scores do not accurately represent this student’s qualifications, please explain here:
Please feel free to add other comments or note any special recognitions received by this student (such as art or music).
* Is this student ESL?

Your Contact Information
* Your Full Name:
* Your Email Address:
* Your Position:
* Your School and District:

If you have any questions about the OWjL Program, please contact the OWjL Office Manager (Eve Helenberger) at 740-368-3939, the OWjL Director (Susan Paxton) at 740-368-3956, or email owjl@owu.edu.