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:

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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 school 

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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
Respect for authority
Responsibility
Leadership skills

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

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

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

  Exceptional Above Average Average Fair Poor
Attendance

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* 6. Is this student eligible for the following:

  Yes No
Passing to the next grade
Returning to your school

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* 7. Concerns (check any that apply)

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

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

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

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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:

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100% of survey complete.

T