Shared Teacher Recommendation Page 2

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Please check the following:
Usually chooses to work in:
Large group: _______
Small Group: ________
Alone: _______
Usually takes the role of:
Leader: ______
Follower: ______
Varies: _______
Hand dominance:
Not yet established: ____
Left: _______
Right: ______
-
Describe any social-emotional strengths or weaknesses. What steps have been taken to address the areas of
concern?
Physical Development
Please mark with a check where the student ranks, your comment is appreciated.
Below
Age
Skill
Comments
Strong
Expectation
Appropriate
Fine motor
Draws with details
Pencil grip
Gross motor
awareness
Body/space
Balance and manner of
movement while
walking, running,
jumping
Participates in physical
group activities
-
Please describe if you have noticed any visual or auditory strengths or weaknesses.
-
Are there any aspects of the child’s physical development that might limit their full participation in a school
program? If so, does the child work around these limitations?
Check words that best describe this student.
Aggressive
Determined
Observant
Articulate
Easily Frustrated
Over protected
Cheerful
Flexible
Respectful
Confident
Good Natured
Serious
Courteous
Impulsive
Shy
Detached
Oppositional
Sensitive
-
Is there anything regarding the child that would be helpful for the Admissions Committee to know?
-
Is there anything regarding the family that would be helpful for the Admissions Committee to know?
This applicant is:
Strongly Recommended
Recommended with reservations
Not Recommended
Teacher Name:______________________________________ School: __________________________________________
Teacher Signature:__________________________________ School Location: ___________________________________
Date: ___________________________________________
e-mail address: ____________________________________

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