Teacher Recommendation Early Childhood

Early Childhood Teacher Recommendation Form

To be completed by applicant’s current classroom teacher.

Student Information

Student's Name

First Last

Grade Entering

Teacher's Name

First Last

Your Signature

School

School Phone

Teacher Email

Section Break

May we contact you for additional information, if necessary?

Yes

How many years have you known the student?

Briefly summarize the child's cognitive strengths and challenges.

Describe this student’s ability to focus on and complete a task.

Describe this child’s ability to work independently.

Does this child or has this child ever received any outside learning services including Early Intervention services (e.g. physical or occupational therapy, speech and/or language therapy)? If yes, please explain.

Have you observed any signs of learning differences? If yes, please explain.

Please state any behavioral difficulties.

Is this child currently on medication or previously been on medication? If yes, please explain.

Please provide any additional information or comments to help us get to know this child better.

Please describe the child’s sleeping habits.

Please describe the child’s eating habits.

What age did this child start walking?

What age did this child start talking?

Child’s primary language:

Other language(s) spoken:

Please characterize the parents’ support for this student’s school experience. Do parents’ goals seem realistic?

Qualities

Please complete the tables by selecting the best response.

maturity relative to age(Required)

very mature	normal maturity	somewhat immature	very immature

curiosity(Required)

strong and varied	in one area only	occasional spark	limited

verbal skills(Required)

exceptional	good	some difficulty	limited

follows directions(Required)

quickly and correctly	occasionally needs help	needs much explanation	cannot or does not follow direction

attention span(Required)

exceptional	usually good	occasionally distracted	easily distracted

transitions from activities(Required)

transitions easily	needs help occasionally	occasionally has difficulty	transitions are difficult

response to other children(Required)

very social	somewhat social	occasionally social	no interest in others

separation from parents(Required)

not a problem	only in the beginning	frequently a problem	always a problem

toileting habits(Required)

independent	mostly independent	require assistance	shows no interest

attendance(Required)

excellent	very good	fair	poor

Teacher Recommendation Early Childhood

Early Childhood Teacher Recommendation Form

Student Information

Section Break

Qualities

Quest Montessori School

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