Angleton Christian School - Math Teacher Recommendation (2nd-12th grade)

Dear Math Teacher,

The student referenced in the email is applying for admission to Angleton Christian School.

Your evaluation of the student is an invaluable tool in the admission process. The applicant's file is not complete without the completion of this form. Thank you in advance for your time and your comments.

*Please note that the information you have provided in this form is confidential and will NOT be shared with the student or family.

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* 1. Please provide the following information:

Student First and Last Name

Student Current Grade

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* 2. Choose the response that best describes the parental support of the student and school:

	Exceptional	Above Average	Average	Fair	Poor
Family supports the child	Family supports the child Exceptional	Family supports the child Above Average	Family supports the child Average	Family supports the child Fair	Family supports the child Poor
Family supports the school	Family supports the school Exceptional	Family supports the school Above Average	Family supports the school Average	Family supports the school Fair	Family supports the school Poor

Comment:

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* 3. Choose the response that best describes these personal attributes of the student:

	Exceptional	Above Average	Average	Fair	Poor
Peer relationships	Peer relationships Exceptional	Peer relationships Above Average	Peer relationships Average	Peer relationships Fair	Peer relationships Poor
Respect for authority	Respect for authority Exceptional	Respect for authority Above Average	Respect for authority Average	Respect for authority Fair	Respect for authority Poor
Responsibility	Responsibility Exceptional	Responsibility Above Average	Responsibility Average	Responsibility Fair	Responsibility Poor
Leadership skills	Leadership skills Exceptional	Leadership skills Above Average	Leadership skills Average	Leadership skills Fair	Leadership skills Poor

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* 4. Choose a response that best describes the study skills of the student:

	Exceptional	Above Average	Average	Fair	Poor
Effort	Effort Exceptional	Effort Above Average	Effort Average	Effort Fair	Effort Poor
Completes assignments on time	Completes assignments on time Exceptional	Completes assignments on time Above Average	Completes assignments on time Average	Completes assignments on time Fair	Completes assignments on time Poor
Works independently	Works independently Exceptional	Works independently Above Average	Works independently Average	Works independently Fair	Works independently Poor
Attention span	Attention span Exceptional	Attention span Above Average	Attention span Average	Attention span Fair	Attention span Poor

Comments:

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* 5. Please choose the response that describes the student with regard to:

	Exceptional	Above Average	Average	Fair	Poor
Attendance	Attendance Exceptional	Attendance Above Average	Attendance Average	Attendance Fair	Attendance Poor

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* 6. Is this student eligible for the following:

	Yes	No
Passing to the next grade	Passing to the next grade Yes	Passing to the next grade No
Returning to your school	Returning to your school Yes	Returning to your school No

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* 7. Concerns (check any that apply)

Aggressive

Manipulative

Easily distracted

Argumentative

Cries easily

Defiant

Hands on others

No Concerns

Comments:

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* 8. Has or is the student receiving outside support? If yes, please explain.

Yes

Comment:

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* 9. Has any outside support been suggested to the parent?

Yes

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* 10. Has this student been sent to the office for disciplinary problems? If yes, please explain.

Yes

Comment:

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* 11. Please include any additional comments:

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* 12. Please include the following to serve as your electronic signature:

Your Name

Your Position

Your Email

Name of School

Phone Number

Street Address, City, State, Zip

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100% of survey complete.