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Confidential Teacher Recommendation Form

TO THE TEACHER: Thank you for completing this recommendation form. It will remain confidential and will not become part of the student’s permanent academic record. We sincerely appreciate your cooperation and candor as you provide us with necessary information to make informed admissions decisions for young children.

Student Demographic Information

Applying for Grade*
Answer required for "Applying for Grade"
Days child attends each week
Answer required for "Days child attends each week"
Time
Answer required for "Time"

Student Assessment

Compared to all the students this age that you have taught, please check the most appropriate response for this child.

1. Attention Span
Answer required for "1. Attention Span"
2. Task Persistence
Answer required for "2. Task Persistence"
3. Degree of Independence
Answer required for "3. Degree of Independence"
4. Peer Relationships
Answer required for "4. Peer Relationships"
5. Attention to Directions in Teacher Directed Activities
Answer required for "5. Attention to Directions in Teacher Directed Activities"
6. Comprehension of Directions in Teacher Directed Activities
Answer required for "6. Comprehension of Directions in Teacher Directed Activities"
7. Verbalization
Answer required for "7. Verbalization"
8. Body Movement at Listening Times
Answer required for "8. Body Movement at Listening Times"
9. Response to Stress/Pressure
Answer required for "9. Response to Stress/Pressure"
10. Confidence
Answer required for "10. Confidence"
11. When conflict arises, this person generally responds with:
Answer required for "11. When conflict arises, this person generally responds with:"
12. Can dress self
Answer required for "12. Can dress self"
13. Uses toilet unassisted
Answer required for "13. Uses toilet unassisted"
14. Small motor muscle control and coordination
Answer required for "14. Small motor muscle control and coordination"
15. Large motor muscle control and coordination
Answer required for "15. Large motor muscle control and coordination"

Additional Information

Please check applicable: (please refer to the appropriate party for the following information)
Answer required for "Please check applicable: (please refer to the appropriate party for the following information)"

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