Teacher Recommendation for Grades Junior Kindergarten - First Grade

Your observations are an invaluable guide in determining the best placement for this child. This information is confidential and privileged. It is intended for admissions use only and will not be a part of the student's permanent record. Your candid responses to the following questions are appreciated. Thank you for your help.

Applicant's Information

Applicant's First Namerequired

Applicant's Last Namerequired

Agerequired

How many days a week does this applicant attend your school?required

Teacher's Information

Teacher's Namerequired

What class do you teach?required

At which school do you teach?required

What is the school's address?required

Part I

Please select the response most appropriate for this child.

A. ATTENTION SPANrequired

B. TASK PERSISTENCErequired

C. DEGREE OF INDEPENDENCErequired

D. PEER RELATIONSHIPSrequired

E. ATTENTION TO DIRECTIONS IN TEACHER-DIRECTED ACTIVITIESrequired

F. COMPREHENSION OF DIRECTIONS IN TEACHER-DIRECTED ACTIVITIESrequired

G. VERBALIZATIONrequired

H. BODY MOVEMENT AT LISTENING TIMESrequired

I. CONFIDENCErequired

Part II

1. Please comment on the individual strengths of this student.required

2. Are there activities that appear difficult for this child? Please explain.required

3. Please comment on this child's emotional and social maturity.required

4. Has this family been a supportive partner in reaching this child's goals this year?required

5. I would recommend this student for admission to Charlotte Christian's demanding college preparatory program (please make a selection in both dropdowns):

For academic promiserequired

For characterrequired

6. Do you have any comments or reservations about this child that you feel warrant a discussion with us?*

Yes No

Please enter a phone number where we may contact you:required

Part III

Please complete the following by checking the most appropriate column for the indicated behavior.

Exhibits self-control in classroomrequired

Respectful of othersrequired

Cooperative with teacherrequired

Considerate in work and playrequired