Teacher Recommendation Form - St. Mary Magdalen

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Teacher Recommendation Form
__________________________has applied for admission to grade _______
at St. Mary Magdalen School. We value your insight as an educator and plan
to use your feedback along with our in-house evaluation to make an accurate
assessment of this student. Kindly fill out this form and fax it back to as soon
as possible.
Please indicate the student’s behavior is each of the area’s listed below:
Excellent
Good
Fair
Poor
ACADEMICS
Study Habits
Motivation
Ability to learn
Oral communication skills
Ability to work independently
Attention span
Excellent
Good
Fair
Poor
PERSONAL QUALITIES
Personal conduct
Self confidence
Leadership potential
Concern for others
Participation in school community
Respect for authority
Creativity
Emotional maturity
1. Are there any factors that have had an impact on this students academic or social progress to date?
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
2. Has the student been placed in any special programs (accelerated classes, resource/learning specialist, etc.) or received any special
learning accommodations or curriculum modifications (for example: extended time, oral testing, modified assignments, etc.)?
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
3. Additional comments that would be helpful in understanding this student?
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
 I recommend this student with confidence
 I recommend this student with reservations
 I do not recommend this student
Teacher’s Signature______________________________________
Date___________________
School_________________________________________________
Phone Number _______________________________
8615 7th Ave. SE
Everett, WA 98208
Tel: 425-353-7559
Fax: 425-356-2687
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