We appreciate your time in completing this form.  This recommendation is confidential and will not be made available for parent review.  Your input is invaluable and will help the Admissions Committee determine if EDS is the best fit for this child.

* 1. Name of Student:

* 2. How long have you known this student?

* 3. Name of Current School:

* 4. Please compare to students you have taught:

  Exceed Expectations Meets Expectations Needs Improvement Not Observed in this Area
Ability to follow directions
Works cooperatively
Ability to complete tasks
Works carefully and neatly
Ability to work independently
Listens in a group
Plays well in a group
Ability to focus on one task
Shows respect to teacher(s)
Shows respect for classroom
Ability to change tasks
Problem-solving abilities
Cooperates in play
Shares well
Is imaginative
Has the capacity to lead
Has the capacity to follow
Respects property of others
Is curious
Is comfortable with adults
Adjusts to new situations
Exhibits courtesy and respect
Shows self-confidence
Exhibits self-control in the classroom
Exhibits self-control on the playground
Small muscle control and coordination
Large muscle control and coordination
Speech development (articulation)
Ability to relax

* 5. Is the parent's perception of the child compatible with the school's understanding of the child?

* 6. What are the first words that come to your mind when you think of this child?

* 7. To your knowledge, has this student ever been sent home from school/mother's day out/daycare for inappropriate behavior, including physical aggression towards peers and teachers, emotional issues, or potty issues?

* 8. What additional information would you like to share about this student?

* 9. Compared to other students you have taught, how would you rate this student?

* 10. Your name:

* 11. May we contact you if we have further questions?