Teacher Recommendation Form - Grades PK and Kinder

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?

Yes

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

Name of Teacher

School Name

City/Town

State/Province

Teacher Email Address

Phone Number

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

Yes

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* 6. Social Skills Ratings

	Exceeds Expectations	Area of Strength	Age Appropriate	Progressing	Area of Concern
Self-esteem	Self-esteem Exceeds Expectations	Self-esteem Area of Strength	Self-esteem Age Appropriate	Self-esteem Progressing	Self-esteem Area of Concern
Acceptance of limits	Acceptance of limits Exceeds Expectations	Acceptance of limits Area of Strength	Acceptance of limits Age Appropriate	Acceptance of limits Progressing	Acceptance of limits Area of Concern
Self-motivation	Self-motivation Exceeds Expectations	Self-motivation Area of Strength	Self-motivation Age Appropriate	Self-motivation Progressing	Self-motivation Area of Concern
Ability to work independently	Ability to work independently Exceeds Expectations	Ability to work independently Area of Strength	Ability to work independently Age Appropriate	Ability to work independently Progressing	Ability to work independently Area of Concern
Interaction with peers	Interaction with peers Exceeds Expectations	Interaction with peers Area of Strength	Interaction with peers Age Appropriate	Interaction with peers Progressing	Interaction with peers Area of Concern
Interaction with teachers	Interaction with teachers Exceeds Expectations	Interaction with teachers Area of Strength	Interaction with teachers Age Appropriate	Interaction with teachers Progressing	Interaction with teachers Area of Concern
Uses words to express feelings	Uses words to express feelings Exceeds Expectations	Uses words to express feelings Area of Strength	Uses words to express feelings Age Appropriate	Uses words to express feelings Progressing	Uses words to express feelings Area of Concern
Internalization of classroom routine	Internalization of classroom routine Exceeds Expectations	Internalization of classroom routine Area of Strength	Internalization of classroom routine Age Appropriate	Internalization of classroom routine Progressing	Internalization of classroom routine Area of Concern

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* 7. Social Skills Ratings

	Exceeds Expectations	Area of Strength	Age Appropriate	Progressing	Area of Concern
Separation from parents/caregivers	Separation from parents/caregivers Exceeds Expectations	Separation from parents/caregivers Area of Strength	Separation from parents/caregivers Age Appropriate	Separation from parents/caregivers Progressing	Separation from parents/caregivers Area of Concern
Ability to share and work cooperatively	Ability to share and work cooperatively Exceeds Expectations	Ability to share and work cooperatively Area of Strength	Ability to share and work cooperatively Age Appropriate	Ability to share and work cooperatively Progressing	Ability to share and work cooperatively Area of Concern
Ability to wait turn	Ability to wait turn Exceeds Expectations	Ability to wait turn Area of Strength	Ability to wait turn Age Appropriate	Ability to wait turn Progressing	Ability to wait turn Area of Concern
Respect for property (personal and others)	Respect for property (personal and others) Exceeds Expectations	Respect for property (personal and others) Area of Strength	Respect for property (personal and others) Age Appropriate	Respect for property (personal and others) Progressing	Respect for property (personal and others) Area of Concern
Accepts responsibility for actions	Accepts responsibility for actions Exceeds Expectations	Accepts responsibility for actions Area of Strength	Accepts responsibility for actions Age Appropriate	Accepts responsibility for actions Progressing	Accepts responsibility for actions Area of Concern
Sense of humor	Sense of humor Exceeds Expectations	Sense of humor Area of Strength	Sense of humor Age Appropriate	Sense of humor Progressing	Sense of humor Area of Concern
Curiosity/imagination	Curiosity/imagination Exceeds Expectations	Curiosity/imagination Area of Strength	Curiosity/imagination Age Appropriate	Curiosity/imagination Progressing	Curiosity/imagination Area of Concern
Attention span: self-chosen activity	Attention span: self-chosen activity Exceeds Expectations	Attention span: self-chosen activity Area of Strength	Attention span: self-chosen activity Age Appropriate	Attention span: self-chosen activity Progressing	Attention span: self-chosen activity Area of Concern

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* 8. Social Skills Ratings

	Exceeds Expectations	Area of Strength	Age Appropriate	Progressing	Area of Concern
Attention span: assigned activity	Attention span: assigned activity Exceeds Expectations	Attention span: assigned activity Area of Strength	Attention span: assigned activity Age Appropriate	Attention span: assigned activity Progressing	Attention span: assigned activity Area of Concern
Cooperative attitude	Cooperative attitude Exceeds Expectations	Cooperative attitude Area of Strength	Cooperative attitude Age Appropriate	Cooperative attitude Progressing	Cooperative attitude Area of Concern
Leadership skills	Leadership skills Exceeds Expectations	Leadership skills Area of Strength	Leadership skills Age Appropriate	Leadership skills Progressing	Leadership skills Area of Concern
Makes transitions easily	Makes transitions easily Exceeds Expectations	Makes transitions easily Area of Strength	Makes transitions easily Age Appropriate	Makes transitions easily Progressing	Makes transitions easily Area of Concern
Ability to focus in large group	Ability to focus in large group Exceeds Expectations	Ability to focus in large group Area of Strength	Ability to focus in large group Age Appropriate	Ability to focus in large group Progressing	Ability to focus in large group Area of Concern
Ability to focus in small group	Ability to focus in small group Exceeds Expectations	Ability to focus in small group Area of Strength	Ability to focus in small group Age Appropriate	Ability to focus in small group Progressing	Ability to focus in small group Area of Concern
Responds to redirection	Responds to redirection Exceeds Expectations	Responds to redirection Area of Strength	Responds to redirection Age Appropriate	Responds to redirection Progressing	Responds to redirection Area of Concern

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* 9. Usually chooses to work in:

large group

small group

alone

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* 10. Usually takes role of:

leader

follower

varies

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* 11. Hand dominance:

right

left

not yet established

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* 12. Physical Development Ratings

	Exceeds Expectations	Area of Strength	Age Appropriate	Progressing	Area of Concern
Fine motor coordination	Fine motor coordination Exceeds Expectations	Fine motor coordination Area of Strength	Fine motor coordination Age Appropriate	Fine motor coordination Progressing	Fine motor coordination Area of Concern
Draws with details	Draws with details Exceeds Expectations	Draws with details Area of Strength	Draws with details Age Appropriate	Draws with details Progressing	Draws with details Area of Concern
Uses appropriate pencil grip	Uses appropriate pencil grip Exceeds Expectations	Uses appropriate pencil grip Area of Strength	Uses appropriate pencil grip Age Appropriate	Uses appropriate pencil grip Progressing	Uses appropriate pencil grip Area of Concern
Gross motor coordination	Gross motor coordination Exceeds Expectations	Gross motor coordination Area of Strength	Gross motor coordination Age Appropriate	Gross motor coordination Progressing	Gross motor coordination Area of Concern
Body/space awareness	Body/space awareness Exceeds Expectations	Body/space awareness Area of Strength	Body/space awareness Age Appropriate	Body/space awareness Progressing	Body/space awareness Area of Concern
Balance, gait, fluidity, smoothness of movement	Balance, gait, fluidity, smoothness of movement Exceeds Expectations	Balance, gait, fluidity, smoothness of movement Area of Strength	Balance, gait, fluidity, smoothness of movement Age Appropriate	Balance, gait, fluidity, smoothness of movement Progressing	Balance, gait, fluidity, smoothness of movement Area of Concern
Participate in physical group activity	Participate in physical group activity Exceeds Expectations	Participate in physical group activity Area of Strength	Participate in physical group activity Age Appropriate	Participate in physical group activity Progressing	Participate in physical group activity Area of Concern

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* 13. Please describe any notable social or emotional strengths or weaknesses. What steps have been taken to address the areas of concern?

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* 14. Please note any physical, visual and/or auditory strengths or weaknesses:

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

Aggressive

Articulate

Cheerful

Confident

Courteous

Curious

Detached

Determined

Easily-frustrated

Flexible

Good-natured

Impulsive

Independent

Inquisitive

Oppositional

Over-protected

Respectful

Self-regulated

Serious

Spirited

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

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

Yes

If yes, please explain:

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* 18. Parent Support:

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

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* 19. This applicant/student is:

Strongly Recommended

Recommended

Recommended with Reservation

Not Recommended