The form presents information on screening and nominating potentially gifted and talented students. Four categories of nominating factors are considered and described in terms of specific processes and examples of behaviors typical or characteristic of each process. Information on an 11-year-old Mexican child is given to illustrate completion of documenting data for four major categories (sample minor categories are in parentheses): academic functioning (group and individual achievement test data); cognitive functioning (memory, evaluation, convergent thinking); creative functioning (divergent thinking, personal qualities); and non-cognitive mastery areas (motivation, leadership, aesthetics). (CL)