The school district uses a combination of test scores (most weight), gpa, and teacher recommendation. The hospital teacher probably would do a WISC, but I'm hoping we won't be there again in the near future, lol. Out of curiousity I just looked at the homepage for her school's GT program, and there are only 7!! students in it..the school population is 200+. I do know she barely missed the cut-off even with the off OL and S-B last year.