Angleton Christian School - PK-1st Grade Recommendation Survey

Dear 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 with out the completion of this form. Thank you in advance for your time and your comments.

*Please note that all information provided in this form is confidential and will not be shared with the student or parents.

	Exceptional	Above Average	Average	Fair	Poor
Attention span	Attention span Exceptional	Attention span Above Average	Attention span Average	Attention span Fair	Attention span Poor
Ability to follow directions	Ability to follow directions Exceptional	Ability to follow directions Above Average	Ability to follow directions Average	Ability to follow directions Fair	Ability to follow directions Poor
Ability to complete tasks	Ability to complete tasks Exceptional	Ability to complete tasks Above Average	Ability to complete tasks Average	Ability to complete tasks Fair	Ability to complete tasks Poor
Ability to work in groups	Ability to work in groups Exceptional	Ability to work in groups Above Average	Ability to work in groups Average	Ability to work in groups Fair	Ability to work in groups Poor
Attitude toward teachers	Attitude toward teachers Exceptional	Attitude toward teachers Above Average	Attitude toward teachers Average	Attitude toward teachers Fair	Attitude toward teachers Poor
Attitude toward peers	Attitude toward peers Exceptional	Attitude toward peers Above Average	Attitude toward peers Average	Attitude toward peers Fair	Attitude toward peers Poor
Attitude of peers toward this child	Attitude of peers toward this child Exceptional	Attitude of peers toward this child Above Average	Attitude of peers toward this child Average	Attitude of peers toward this child Fair	Attitude of peers toward this child Poor
Child is confident	Child is confident Exceptional	Child is confident Above Average	Child is confident Average	Child is confident Fair	Child is confident Poor
Child has a sense of humor	Child has a sense of humor Exceptional	Child has a sense of humor Above Average	Child has a sense of humor Average	Child has a sense of humor Fair	Child has a sense of humor Poor
Responds positively to correction	Responds positively to correction Exceptional	Responds positively to correction Above Average	Responds positively to correction Average	Responds positively to correction Fair	Responds positively to correction Poor
Cooperative	Cooperative Exceptional	Cooperative Above Average	Cooperative Average	Cooperative Fair	Cooperative Poor

Exceptional

Above Average

Average

Fair

Poor

Attention span

Attention span Exceptional

Attention span Above Average

Attention span Average

Attention span Fair

Attention span Poor

Ability to follow directions

Ability to follow directions Exceptional

Ability to follow directions Above Average

Ability to follow directions Average

Ability to follow directions Fair

Ability to follow directions Poor

Ability to complete tasks

Ability to complete tasks Exceptional

Ability to complete tasks Above Average

Ability to complete tasks Average

Ability to complete tasks Fair

Ability to complete tasks Poor

Ability to work in groups

Ability to work in groups Exceptional

Ability to work in groups Above Average

Ability to work in groups Average

Ability to work in groups Fair

Ability to work in groups Poor

Attitude toward teachers

Attitude toward teachers Exceptional

Attitude toward teachers Above Average

Attitude toward teachers Average

Attitude toward teachers Fair

Attitude toward teachers Poor

Attitude toward peers

Attitude toward peers Exceptional

Attitude toward peers Above Average

Attitude toward peers Average

Attitude toward peers Fair

Attitude toward peers Poor

Attitude of peers toward this child

Attitude of peers toward this child Exceptional

Attitude of peers toward this child Above Average

Attitude of peers toward this child Average

Attitude of peers toward this child Fair

Attitude of peers toward this child Poor

Child is confident

Child is confident Exceptional

Child is confident Above Average

Child is confident Average

Child is confident Fair

Child is confident Poor

Child has a sense of humor

Child has a sense of humor Exceptional

Child has a sense of humor Above Average

Child has a sense of humor Average

Child has a sense of humor Fair

Child has a sense of humor Poor

Responds positively to correction

Responds positively to correction Exceptional

Responds positively to correction Above Average

Responds positively to correction Average

Responds positively to correction Fair

Responds positively to correction Poor

Cooperative

Cooperative Exceptional

Cooperative Above Average

Cooperative Average

Cooperative Fair

Cooperative Poor

	Exceptional	Above Average	Average	Fair	Poor
Works independently	Works independently Exceptional	Works independently Above Average	Works independently Average	Works independently Fair	Works independently Poor
Remains on task	Remains on task Exceptional	Remains on task Above Average	Remains on task Average	Remains on task Fair	Remains on task Poor
Shows adequate fine motor skills	Shows adequate fine motor skills Exceptional	Shows adequate fine motor skills Above Average	Shows adequate fine motor skills Average	Shows adequate fine motor skills Fair	Shows adequate fine motor skills Poor
Grips pencil correctly	Grips pencil correctly Exceptional	Grips pencil correctly Above Average	Grips pencil correctly Average	Grips pencil correctly Fair	Grips pencil correctly Poor

Exceptional

Above Average

Average

Fair

Poor

Works independently

Works independently Exceptional

Works independently Above Average

Works independently Average

Works independently Fair

Works independently Poor

Remains on task

Remains on task Exceptional

Remains on task Above Average

Remains on task Average

Remains on task Fair

Remains on task Poor

Shows adequate fine motor skills

Shows adequate fine motor skills Exceptional

Shows adequate fine motor skills Above Average

Shows adequate fine motor skills Average

Shows adequate fine motor skills Fair

Shows adequate fine motor skills Poor

Grips pencil correctly

Grips pencil correctly Exceptional

Grips pencil correctly Above Average

Grips pencil correctly Average

Grips pencil correctly Fair

Grips pencil correctly Poor

	Exceptional	Above Average	Average	Fair	Poor
Sits still, attentive, listens	Sits still, attentive, listens Exceptional	Sits still, attentive, listens Above Average	Sits still, attentive, listens Average	Sits still, attentive, listens Fair	Sits still, attentive, listens Poor
Actively participates	Actively participates Exceptional	Actively participates Above Average	Actively participates Average	Actively participates Fair	Actively participates Poor
Follows oral instructions	Follows oral instructions Exceptional	Follows oral instructions Above Average	Follows oral instructions Average	Follows oral instructions Fair	Follows oral instructions Poor

Exceptional

Above Average

Average

Fair

Poor

Sits still, attentive, listens

Sits still, attentive, listens Exceptional

Sits still, attentive, listens Above Average

Sits still, attentive, listens Average

Sits still, attentive, listens Fair

Sits still, attentive, listens Poor

Actively participates

Actively participates Exceptional

Actively participates Above Average

Actively participates Average

Actively participates Fair

Actively participates Poor

Follows oral instructions

Follows oral instructions Exceptional

Follows oral instructions Above Average

Follows oral instructions Average

Follows oral instructions Fair

Follows oral instructions Poor

	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

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

	Prefers to play alone	Plays with others
Playtime	Playtime Prefers to play alone	Playtime Plays with others

Prefers to play alone

Plays with others

Playtime

Playtime Prefers to play alone

Playtime Plays with others

	Frequent	Rare
Verbalization with peers	Verbalization with peers Frequent	Verbalization with peers Rare

Frequent

Rare

Verbalization with peers

Verbalization with peers Frequent

Verbalization with peers Rare

	Needs encouragement to engage in class	Excited to engage in class
Class Involvement	Class Involvement Needs encouragement to engage in class	Class Involvement Excited to engage in class

Needs encouragement to engage in class

Excited to engage in class

Class Involvement

Class Involvement Needs encouragement to engage in class

Class Involvement Excited to engage in class

	Hesitantly verbalizes	Verbalizes confidently
Language usage	Language usage Hesitantly verbalizes	Language usage Verbalizes confidently

Hesitantly verbalizes

Verbalizes confidently

Language usage

Language usage Hesitantly verbalizes

Language usage Verbalizes confidently

Angleton Christian School - PK-1st Grade Recommendation

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* 1. Please provide the following information:

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* 2. Choose the response that best describes the social/emotional development of the student:

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* 3. Choose the response that best describes the school performance of the student:

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* 4. Choose a response that best describes whole group observations of the student:

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

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* 6. Concerns (check any that apply)

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* 7. General Observations

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* 8. General Observations

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* 9. General Observations

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* 10. General Observations

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

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

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* 13. Please include any additional comments:

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