Common Teacher Recommendation Form For Kindergarten Page 2
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1
2Area of
Age
Progressing to Age
Area of
PHYSICAL AND PERSONAL DEVELOPMENT
Strength
Appropriate
Appropriate
Concern
Fine motor coordination (puzzles, lacing, scissors, etc.)
Uses appropriate pencil grip
Draws with detail
Gross motor coordination (climbing, hopping etc.)
Has sense of body in classroom and outdoor space
Demonstrates an ability to self regulate/control impulses
Dresses self (puts on/takes off sweater/shoes, etc.)
Responsible for personal belongings
Is willing to participate in cleanup activities
Participates in outdoor group activities
Demonstrates independence and self-reliance
Please share any comments related to areas of concern as indicated
: ______________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Handedness established? Yes
No (please circle) Right Left
Preferred play choice (please circle)
Large group
Small group Alone
Usually takes role of (please circle)
Leader Follower
FAMILY INFORMATION
Consistently
Usually
Seldom
Participates in school activities
Cooperates with all school personnel
School forms are completed promptly
Perception of their child is consistent with school’s perception of the child
Responsive to teacher feedback
Supports school/classroom systems and expectations (i.e. arriving on time, follow through
with school requests etc.)
What is the primary language spoken in the home? ______________________________________
How long have you known this child? ______________How long has this child been at the school? _____________
This child attends half-day full day (please circle) How many days per week does this child attend? ___________
Please share any additional information regarding the applicant or the family that would be helpful
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Is this applicant ready for a full time kindergarten program?
Yes
No
If we have additional questions, may we call you? Yes
No
Most convenient time to call: _____________
Teacher Signature
Phone Number
Date
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)
/
/
Teacher Name (please print)
School Address
Teacher Email (please print)
City, State, Zip Code
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