Teacher Recommendation Form 2-8

Teacher Recommendation Form for Second Through Eighth Grades

We appreciate your cooperation in completing this recommendation. We use this form, in addition to the rest of the application components, to help us assess candidates for admission to our program. Thank you for your fair, honest, and thorough assessment. Your responses will be sent directly to The Williams School. All responses are strictly confidential.

Name of student*

This student is currently in grade*
Student Grade:

Course name, if applicable:

How long have you known this student?*

Applicant’s Attendance History: Please check one of the following.*

Seldom Absent

Occasionally Absent

Frequently Absent

Please comment on the usual reason for absences:*

Applicant’s Attitude: Please check all that apply.*

Respectful

Cooperative

Positive

Negative

Ambivalent

Disrespectful

Other

Comment(s)

Applicant's Work and Study Habits: Please check all that apply.*

Perfectionist

Motivated academically

Unmotivated in most areas

Completes work in a timely manner

Diligent

Lacks motivation, except in areas of interest

Other

Comment(s)

Attitude of Others Toward the Applicant: Please check all that apply.*

Respected

Well-liked

Disliked

Tolerated

Other

Comment(s)

Academic and Social Skills*

	Never	Rarely	Sometimes	Usually	Almost Always
Is attentive	1	2	3	4	5
Contributes to group activities and discussions	1	2	3	4	5
Follows directions	1	2	3	4	5
Works collaboratively	1	2	3	4	5
Independently completes tasks	1	2	3	4	5
Demonstrates ability to focus	1	2	3	4	5
Follows classroom routines	1	2	3	4	5
Transitions easily from one activity to another	1	2	3	4	5
Responds positively to redirection or constructive criticism	1	2	3	4	5
Is curious	1	2	3	4	5
Is willing to try new activities	1	2	3	4	5
Is a self-starter	1	2	3	4	5
Enjoys new challenges	1	2	3	4	5
Exhibits problem-solving abilities	1	2	3	4	5
Expresses ideas clearly	1	2	3	4	5

1. Please describe the applicant’s academic strengths and weaknesses.*

2. Are there any academic, social, or behavioral accommodations or supports necessary for this student? If so, please describe.

3. Please comment on the student’s skills as a:
Reader:
Writer:
Speaker:

If applicable:
DRA Level:
PALS Level:

4. Please comment on the student’s mathematics skills and number sense.
Computation skills:*
Ability to solve word problems:*
What math program or textbook does the student currently use?*

Parent/Guardian Involvement

To what extent are this child’s parents/guardians responsive to the school’s requests for information or action?*

Never

Rarely

Sometimes

Usually

Always

To what extent are this child’s parents/guardians in compliance with your school’s policies or procedures?*

Never

Rarely

Sometimes

Usually

Always

To what extent are this child’s parents/guardians a positive influence in your school community?*

Never

Rarely

Sometimes

Usually

Always

We welcome any additional information you think would be helpful to our Admissions Committee.

Please check your recommendation for admission to The Williams School:*

Strongly

Without Reservation

With Reservation

Do Not Recommend

Name of teacher completing this form:

Name of school:

Email address and/or phone number:

Teacher’s signature*

May we contact you for additional or clarifying information?*
YesNo

Thank you for completing this recommendation form.

The Williams School admits students of any race, color, religion, national, and ethnic origin to all the rights, privileges, programs, and activities at the school.

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