Student Evaluation Form: Second Through Eighth Grade
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1
2Student Evaluation Form:
Second through Eighth Grade
Student/School Information
Date: _______________________________
Student’s name: ______________________________________________ Grade applying to: ______________________________
I give _________________________________________ permission to answer the following questionnaire in regards to my child.
(Current School)
Parent’s signature: __________________________________________
Name of school student is currently attending: ____________________________________ Phone: __________________________
Address: ___________________________________________________________________________________________________
Length of time at this school: __________________________
Student Evaluation
To be completed by principal or teacher. The student named above has applied for admission into the _______ grade at Canyon
Heights Academy for the academic year _______ . Your help is requested in supplying as much of the information below as possible
so that we can better meet the needs of this student.
Does student have a satisfactory attendance record?
Yes ______ No ______
Please grade the following areas with a check mark:
Excellent
Good
Average
Poor
General attitude
______
______
______
______
Effort
______
______
______
______
Cooperation
______
______
______
______
Relationship with teacher
______
______
______
______
Relationship with peers
______
______
______
______
Emotional maturity
______
______
______
______
Intellectual development
______
______
______
______
General health
______
______
______
______
Motor control
______
______
______
______
Study habits
______
______
______
______
Check maturity age level of child.
Early _______
Average ______
Advanced ______
Reading: Series studied and present level of child. Please explain.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
(Please complete other side)
Note: Parents, please submit this form to your child’s current teacher with a stamped, addressed envelope.
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