Teacher - Please complete this confidential form.  This information will be treated confidentially and will not be shared with parents.  You will receive an electronic copy for your files upon submission via the email address provided.  Thank you for your cooperation and honesty.  The student's application cannot be processed until this form is received by our Admissions Office.

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* 1. Enter the student's full name

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* 2. Enter the grade or subject area you taught them.

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* 3. Overall, is this student in good standing and eligible to re-enter your school whether or not you offer the next grade level?

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* 4. Please enter your teacher and school information below.

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* 5. I would be willing willing to discuss this applicant by telephone

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* 6. Academic Skills Ratings

  Excellent Above Average Average Below Average
Listens to and follows teacher's directions
Is attentive to group discussions/activities
Contributes appropriately to group discussions/activities
Demonstrates ability to work independently
Perseveres in spite of difficulty
Works cooperatively
Displays willingness to take risks
Demonstrates appropriate energy level
Demonstrates ability to stay on task
Exhibits appropriate work ethic
Completes assignments on time
Critical thinking skills

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* 7. Social Skills Ratings

  Excellent Above Average Average Below Average
Responds positively to constructive criticism
Establishes friendships easily
Is comfortable in a group
Is respectful of faculty
Is respected by peers
Demonstrates self-control
Takes responsibility for belongings
Is cooperative
Demonstrates appropriate behavior
Exhibits emotional maturity

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* 8. Communication Skills Ratings

  Excellent Above Average Average Below Average
Computations skills
Problem-solving skills
Mathematical reasoning
Mathematical applications
Embraces challenges

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* 9. Check all the words that best describe this applicant:

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* 10. Please describe the student's academic/social strengths, assets, and gifts:

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* 11. Please describe the student's academic/social challenge and areas of support:

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* 12. Please add any additional information that would provide a more complete picture of the student and family. (optional)

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* 13. This applicant/family is habitually tardy or late:

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* 14. Parent Support:

  Consistently Usually Seldom Not Observed
Parent(s) participate in school activities
Parent(s) support school policies and procedures

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* 15. This applicant/student is:

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* 16. If you checked "Recommended with Reservation" or "Not Recommended," please explain:

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