Presidential Advisory Board For
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PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Herman Edder Name: Ann Edder Age: 31 Race: Caucasian Age: 30 Race: Caucasian Place of Birth: Germany Place of Birth: Germany Nationality: American Nationality: American Occupation: Electrical business (bankrupt) Occupation: Housewife Religion Preference: no religious denomination Religion: none Educational Level: High School Educational Level: High School Interests: reading Interests: music
CHILD APPLYING FOR N.G.P.
Name: Sam Edder Age: 12 Educational Level: grade 8
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 5’9” Weight 120 lbs. Achievement Quotient 82 (out of 100) (incomplete exam)
Creativity Quotient 110+ Social Quotient 74 (out of 150)
School Behavior: very poor, considered unsociable and disturbed, handsome, thinks in pictures, values creativity, cocky contempt for authority
General Physical Health: often sickly as a young child Congenital Abnormalities: none General Emotional Health: withdrawn, slight case of echolalia
Special Interests: mathematics , frequently withdraws into fantasy world Special Skills: plays violin, likes to be alone to read
Vocational goals: family expectation is engineering, but he states he does not find it interesting Vocational Contributions: none
Evaluation of family stock: average Personal Goals: i ndependence from family
General Political beliefs: liberal, espouses ideas of freedom/democracy
NGP Computer Evaluation (scale = 1 to 100): Scored = 45 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: William Hall (deceased) Name: Rosemarie Hall (deceased) Address: Lives with grandmother Place of Birth:__ New York Place of Birth: New York Age: -- Race: Caucasian Age: -- Race Caucasian Nationality: American Nationality: American Occupation: Itinerant Occupation: Chores Religion Preference: Catholic Religion: Catholic Educational Level: B.A. Educational Level: High School Interests: N/A Interests: N/A
CHILD APPLYING FOR N.G.P.
Name: Mary Hall Age: 11 Educational Level: grade 5
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 5’8” Weight 98 lbs. Achievement Quotient 82 (out of 100)
Creativity Quotient: 95 Social Quotient 76 (out of 150) Intelligence Quotient:110
School Behavior: erratic, withdrawn, seeks attention, fails often
General Physical Health: sickly, bedridden, hospitalized often, unattractive, homely Congenital Abnormalities: wears backbrace from spinal defect General Emotional Health: bites nails, phobias, attention seeking behavior dominates
Special Interests: daydreams, prefers isolation, wants to be the center of attention Special Skills: patience with children & elderly or infirmed
Vocational goals: none Vocational Contributions: none
Evaluation of family stock: average or better, father alcoholic
Personal Goals: altruistic, prefers to help elderly or poor General Political beliefs: conservative
NGP Computer Evaluation (scale = 1 to 100): Scored = 53 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Bill Grost Name: Audrey Grost Address: Lansing, Michigan Address: Lansing, Michigan Age: 30 Race: Caucasian Age: 28 Race: Caucasian Place of Birth:__ East Lansing, MI Place of Birth: Detroit, MI Nationality: American Nationality: American Occupation: Accountant Occupation: Housewife Religion Preference: Catholic Religion: Catholic Educational Level: M.S. Educational Level: B.A. Interests: Sports, reading, community activities Interests: Sports, music, reading
CHILD APPLYING FOR N.G.P.
Name: Mike Grost Age: 10 Educational Level: grade 6
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 4’11” Weight 75 lbs. Achievement Quotient 170+ (out of 200)
Creativity Quotient: 165 Social Quotient 140 (out of 150) Intelligence Quotient:180+
School Behavior: Aloof from age peers, organizer!
General Physical Health: Excellent Congenital Abnormalities: requires glasses
General Emotional Health: Excellent
Special Interests: Chess, math Special Skills: Eidetic memory (commonly known as photographic memory) Vocational goals: Make a commitment to education Vocational Contributions: Published an original mathematics thorem (accepted by the American Associaton of Mathematicians)
Evaluation of family stock: Above average
Personal Goals: Personal fulfillment, and make significant contribution to society
General Political beliefs: conservative, but futuristic
NGP Computer Evaluation (scale = 1 to 100): Scored = 99 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: James Horn Name: Jane Horn Address: Indianapolis Address: Indianapolis Place of Birth Philadelphia Place of Birth: Scranton Age: 29 Race: Caucasian Age: 29 Race: Caucasian Nationality: American Nationality: American Occupation: Business Manager Occupation: Housewife Religion Preference: Protestant Religion: Protestant Educational Level: B.A. Educational Level: B.A. Interests: Sports, reading, chess Interests: swimming, reading
CHILD APPLYING FOR N.G.P.
Name: William Horn Age: 10 Educational Level: grade 5
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 5’4” Weight 125 lbs. Achievement Quotient 166 (out of 200)
Creativity Quotient: 128 Social Quotient 155 (out of 200)
Intelligence Quotient: 159
School Behavior: good, organizer and leader
General Physical Health: Excellent Congenital Abnormalities: None General Emotional Health: Excellent, well adjusted
Special Interests: Basketball, math Special Skills: Leadership, self-motivated Vocational goals: wants to teach math Vocational Contributions: none
Evaluation of family stock: Above average
Personal Goals: wants to make a personal contribution to society
General Political beliefs: conservative
NGP Computer Evaluation (scale = 1 to 100): Scored = 95 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Clem Vann Gunther Name: Mary America Schrimsher Gunther Address: R#2 Verdigris, OK Address: R#2 Verdigris, OK Place of Birth: Cooweescoowee Co, OK Place of Birth: Trail of Tears, OK Age: 51 Race: Cherokee Indian Age: (Deceased) 46 Race: Cherokee Nationality: American Nationality: American Occupation: Rancher, Res. Senator Occupation: Housewife Religion Preference: None Religion: Pagan Educational Level: Reservation H.S. Educational Level: Reservation G. S. Interests: Ambitious Interests: religion, gardening, home
CHILD APPLYING FOR N.G.P.
Name: William Adair Gunther Age: 11 Educational Level: gr. 4 (3 repeats)
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 4’11” Weight 135 lbs. Achievement Quotient 82 (out of 100)
Creativity Quotient: 115 Social Quotient 85 (out of 100) Intelligence Quotient:110
School Behavior: dislikes school, does not mind, has caused extensive damage to school yard and building through carelessness
General Physical Health: Good, good appearance Congenital Abnormalities: None General Emotional Health: shy & bashful, prankster
Special Interests: Riding & roping Special Skills: Sense of humor, excels in History Vocational goals: Wants to perform in a Wild West or circus show. (parents want him to be a minister) Vocational Contributions: Participates in local rodeos
Evaluation of family stock: Healthy, lower middle class
Personal Goals: Wants to see the world, perform for people
General Political beliefs: Liberal
NGP Computer Evaluation (scale = 1 to 100): Scored = 48 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Joseph Wright Name: Marian Wright (Deceased) Address: Spencer, Indiana Address: Spencer, Indiana Place of Birth: Virginia Place of Birth: Virginia Age: 51 Race: Caucasian Age: 46 Race: Caucasian Nationality: American Nationality: American Occupation: Carpenter, farmer Occupation: Housewife Religion Preference: Baptist Religion: Baptist Educational Level: Uneducated Educational Level: Uneducated Interests: Horses Interests: Cooking, state fairs
CHILD APPLYING FOR N.G.P.
Name: Albert Wright Age: 17 Educational Level: H.S. (dropped out)
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 6’4” Weight 170 lbs. Achievement Quotient 114 (out of 200)
Creativity Quotient: 102 Social Quotient 129 (out of 150) Intelligence Quotient: 112
School Behavior: Good, well liked, respected, attendance irregular
General Physical Health: Good, large for his age Congenital Abnormalities: None
General Emotional Health: Pleasant, even tempered, easy going, poor self concept
Special Interests: Physical sports (especially wrestling), practical jokes, reading, travel
Special Skills: Likes to argue, fairly well read, good debater Vocational goals: Interested in retailing Vocational Contributions: Manual labor, clerked in store, longshoreman, however, considered lazy by employer
Evaluation of family stock: Mother illegitimate, father involved in several law suits
Personal Goals: Wants to own his own business, have a “good” family
General Political beliefs: Very conservative NGP Computer Evaluation (scale = 1 to 100): Scored = 74 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Sam Ridell Name: Nancy Ridell Address: Port Huron, MI Address: Port Huron, MI Place of Birth: Nova Scotia Place of Birth: Ontario, Canada Age: 54 Race: Caucasian Age: 49 Race: Caucasian Nationality: Canadian – Political Exile Nationality: Canadian Occupation: unemployed Occupation: Teacher Religion Preference: Excommunicated Baptist Religion: Baptist-Fundamentalist Educational Level: No formal schooling Educational Level: B.A. Interests: None given Interests: Literature, crafts
CHILD APPLYING FOR N.G.P.
Name: Bill Ridell Age: 11 Educational Level: Withdrawn - Home Schooled
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 4’5” Weight 75 lbs Achievement Quotient 87 (out of 100) Creativity Quotient: 102-110 Social Quotient 79 (out of 100) Intelligence Quotient: 81
School Behavior: Pleasant appearance, withdrawn from school after 3 months: considered “backward” by school officials
General Physical Health: Enrolled in school 2 years late due to Scarlet fever & respiratory infections, going deaf Congenital Abnormalities: Enlarged head at birth General Emotional Health: Stubborn, aloof, shows very little emotion (affect poor
Special Interests: Mechanics, likes to build things, flying, likes to play with fire (burned his father’s barn down) Special Skills: Manual dexterity, reads well, but uses very poor grammar Vocational goals: Wants to be a scientist or railroad mechanic Vocational Contributions: Sold magazines
Evaluation of family stock: Political activists, father shiftless
Personal Goals: Works hard, wants to earn money General Political beliefs: Unconcerned about political considerations
NGP Computer Evaluation (scale = 1 to 100): Scored = 74 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Bill Hawkins Name: Valerie Hawkins Address: Los Angeles Address: Cincinnati Place of Birth: San Francisco Place of Birth: San Francisco Age: 55 Race: Caucasian Age: 51 Race: Caucasian Nationality: American Nationality: American Occupation: Entrepreneur Occupation: Music Teacher Religion Preference: Catholic Religion: Athiest Educational Level: Not known Educational Level: B.A. music Interests: Writing poetry Interests: traveling, sewing
CHILD APPLYING FOR N.G.P.
Name: Elaine Hawkins Age: 12 Educational Level: Elementary
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 5’2” Weight 99 lbs. Achievement Quotient 95 (out of 100)
Creativity Quotient: 115 Social Quotient 84 (out of 100) Intelligence Quotient: 108
School Behavior: Dropped out at age 10, claimed to be 16 years old
General Physical Health: Very Good Congenital Abnormalities: None General Emotional Health: Attractive, Mature, talked back, stubborn, rebellious, behavior problem
Special Interests: Likes to read, visits art and history museums Special Skills: Dancing Vocational goals: Wants to teach dancing Vocational Contributions: Likes to play at being a dance teacher with neighborhood children
Evaluation of family stock: Broken home, mother works-rarely at home, migrants
Personal Goals: Wants a career in dance
General Political beliefs: Radical, outspoken NGP Computer Evaluation (scale = 1 to 100): Scored = 52
PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Samuel Krebbs Name: Sally Ann Krebbs Address: R#1 Ellettsville, IN Address: R#1 Ellettsville, IN Place of Birth: Spencer, IN Place of Birth: Linton, IN Age: 36 Race: Caucasian Age: 35 Race: Caucasian Nationality: American Nationality: American Occupation: Farmer Occupation: Housewife Religion Preference: Methodist Religion: Methodist Educational Level: High School Educational Level: High School Interests: Fiddle playing, horse racing Interests: Sewing, canning, 4-H leader
CHILD APPLYING FOR N.G.P.
Name: Lloyd Krebbs Age: 15 Educational Level: 9 th grade
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 6’3” Weight 155 lbs. Achievement Quotient 112 (out of 200)
Creativity Quotient: 104 Social Quotient 98 (out of 150) Intelligence Quotient: 108
School Behavior: Good, average performer
General Physical Health: Excellent Congenital Abnormalities: None General Emotional Health: Good, gets along well with peers, popular at school
Special Interests: Basketball, fiddle playing with his father, likes helping on the farm Special Skills: Active in 4-H, starting center for the varsity basketball team Vocational goals: Professional sports or Farming Vocational Contributions: Working on the farm with father and younger brothers
Evaluation of family stock: Fine family, active in church, active in children’s lives and very supportive
Personal Goals: Make the NBA, or Purchase farm land and raise a family General Political beliefs: Very conservative
NGP Computer Evaluation (scale = 1 to 100): Scored = 53 PRESIDENTIAL ADVISORY BOARD FOR THE IDENTIFICATION OF GIFTED AND TALENTED YOUTH OHMICHIANA STATE BOARD
This application for admission of your child to the National Gifted Program (NGP) must be submitted to the Federal Bureau of Investigation, Case Verification Division, Washington, D.C., 6 months prior to the child’s anticipated entry. All answers must be entered in the spaces allotted. PERSONS REPORTING FALSE INFORMATION WILL BE PROSECUTED IN FEDERAL COURT.
PARENTS
FATHER MOTHER Name: Benjamin M. Jackson* Name: Arlyne Jackson Address: Houston, TX Address: Houston, TX Place of Birth: Houston, TX Place of Birth: Houston, TX Age: 47 Race: African American Age: 46 Race: African American Nationality: American Nationality: American Occupation: Baptist Minister, Whse Clerk Occupation: Housewife Religion Preference: Baptist Religion: Baptist Educational Level: H.S. Educational Level: H.S. Interests: Music Interests: Music (wants daughter to be music teacher)
CHILD APPLYING FOR N.G.P.
Name: Pearl Ruth Jackson Age: 16 Educational Level: 10 th grade
DO NOT WRITE BELOW THIS LINE FOR NGP SCREENING USE ONLY
Height 5’11” Weight 195 lbs. Achievement Quotient 149 (out of 150)
Creativity Quotient 108 Social Quotient 126 (out of 150) Intelligence Quotient: 138
School Behavior: Top 5% of her class – ghetto school
General Physical Health: Good, but overweight, unattractive Congenital Abnormalities: None General Emotional Health: Good, Self-confident
Special Interests: Listening to rock music, playing guitar, student government Special Skills: Debate Team Vocational goals: Wants to be a lawyer Vocational Contributions: Has participated in local “get out the vote” efforts
Evaluation of family stock: Conservative, parents opposed application & attendance at NGP*
Personal Goals: Ambitious, hard working, wants to participate in NGP General Political beliefs: Liberal, politically active in school
NGP Computer Evaluation (scale = 1 to 100): Scored = 76