Teacher Recommendation

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 student's strengths.

Briefly summarize the student's areas of challenge.

What are the student's special talents or interests?

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

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

Describe this student's ability to work independently.

Describe this student's ability to resolve conflict.

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

Has this student been evaluated for any physical, emotional, or academic reasons? If yes, please explain.

Has this student received academic or behavioral support either in or outside of the classroom? If yes, please explain.

Is this student 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 the student better.

Academic Qualities

academic ability(Required)

outstanding	good	average	limited

academic achievement(Required)

exceeds expectations	Better than he/she tests	as expected	below expectations

self-motivation(Required)

well motivated	some motivation	only as required	does very little

effort, drive(Required)

maximum	usually good	sporadic	occasional

work habits(Required)

well-organized	usually organized	easily distracted	needs significant support

curiosity(Required)

strong and varied	in one area only	occasional spark	limited

ability to work in a group(Required)

always works well	needs help occasionally	needs help frequently	needs much supervision

ability to work alone(Required)

always works well	usually does quite well	sometimes cannot cope	has great difficulty

participation in discussions(Required)

joins in readily	participates occasionally	contributes when called on	rarely participates

reading skills(Required)

above grade level	at grade level	just below grade level	needs support

reads for pleasure(Required)

constantly	frequently	occasionally	rarely

writing skills(Required)

ideas and mechanics are excellent	ideas good, mechanics fair	ideas fair, mechanics good	ideas and mechanics limited

oral expression(Required)

exceptional	good	some difficulty	limited

follows directions(Required)

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

seeks help when needed(Required)

always	usually	occasionally	rarely

attention span(Required)

exceptional	usually good	occasionally distracted	easily distracted

Personal Qualities

maturity relative to age(Required)

very mature	normal maturity	somewhat immature	very immature

consideration of others(Required)

exceptionally thoughtful	usually considerate	rarely considerate	considers own needs only

social interaction with peers(Required)

healthy relationships	occasional problems	frequent problems	relates poorly to others

emotional stability(Required)

stable	somewhat anxious	seeks much attention	easily frustrated

self-confidence(Required)

healthy self-image	needs some support	appears overly confident	needs much reassurance

integrity(Required)

very honest	usually trustworthy	some reservations	significant reservations

conduct(Required)

well-behaved	usually follows the ground rules	occasional misconduct	frequent disruption

attitude of parents(Required)

cooperative	indifferent	overly protective	antagonistic

attendance(Required)

excellent	very good	fair	poor

Teacher Recommendation