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TEACHER RECOMMENDATION (click here to print)
Instructions to Parents: Please complete items (1)-(9); then give this form to an academic teacher who currently teaches the applicant.
(1) Student’s name ______________________________________
Last First
Name called ______________________
(2) Applying to grade __________ for the 2012-2013 school year
I understand that this recommendation form is confidential, and I hereby waive any rights I may have to review or discuss this recommendation.
(3) Signature of parent ______________________________________________
(4) Date _________________________________
(5) Name of current school __________________________________________
(6) Current grade _________________________
(7) School address ____________________________________________________________________
(8) Name of teacher to complete form: _________________________________
(9) Subject ______________________________
Teacher: The student listed above is applying for admission to Eastside Christian School. Please complete both sides of this form and return it directly to Eastside Christian School. Your candid evaluation is an invaluable resource to our admission committee. Your comments will be held in strict confidence. Thank you for your time and input. If you have any questions, please call the office at 770-971-2332.
Teacher’s name _________________________________________
Please Print
Subject taught______________________________
Email address (in case of a question): ____________________________________________________________________________
In what capacity and for how long have you known this applicant? ______________________________________________________
How many students are in the applicant’s current classroom? _____ What are your comments regarding this applicant’s ability to achieve success academically and behaviorally in a traditional classroom setting with approximately 20 students in the class?
Do you section or group students according to ability? If yes, in what subject(s)? Is the applicant in advanced or remedial subjects?
Do you know if this student has ever had any psychological or educational testing or counseling?
_____ Yes _____No
If yes, please describe, if possible.
Has this applicant ever participated in a program for special needs (i.e. programs for learning disabilities, behavior disorders, developmental delays, speech/language, or gifted, etc.)? Please also identify if they have been referred to such a program/service.
Would this student be allowed to return to your school? _____ Yes _____No If not, please explain.
Would you consider this applicant to have any discipline concerns or recurring behavior issues?
_____ Yes _____ No If yes, please explain.
Describe the classroom environment in which you think this child performs at his/her best. List strengths and weaknesses:
Language Arts Teacher: Current numeric grade __________
Textbook publisher _________________________________________
Recommended Language Arts Placement for the 2012-2013 school year
(Honors/On-Level):_________________________________
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Excellent |
Above
Average
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Average |
Below
Average |
Improvement
Needed |
N/A |
Written expression age
appropriate |
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Application of academic
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Math Teacher: Current numeric grade __________
Textbook Publisher ________________________________________________
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Excellent |
Above
Average
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Average |
Below
Average |
Improvement
Needed |
N/A |
Written expression age
appropriate |
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Application of academic
ability |
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Is this applicant’s record a true indication of ability, or have outside circumstances influenced or perhaps interfered with academic achievements (i.e. illness, problems at home, or extra-curricular activity conflicts)? If no, please provide further explanation on an additional page.
Please indicate your rating by marking an X in appropriate column.
If improvement is needed, please explain:
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Excellent |
Above
Average |
Average |
Below
Average |
Improvement
Needed |
N/A |
Written expression
age appropriate |
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Application of academic
ability |
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Math computational skills |
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Study habits |
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Vocabulary appropriate
for age level |
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Reading achievement |
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Participation in class |
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Communicates with teacher |
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Fine motor coordination |
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Gross motor development |
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Ability to follow instructions |
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Works well independently |
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Exhibits self control |
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Motivation |
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Maturity level appropriate
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Emotional stability |
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Leadership ability |
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Peer compatibility |
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Conduct |
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Reaction to criticism |
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Intellectual curiosity |
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Please mail to:
Admissions •Eastside Christian School •2450 Lower Roswell Road •Marietta •GA 30068 or
Fax to: 770-578-7967
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