Toggle navigation Load unfinished survey Resume later default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Teacher Recommendation Form Rising 1st - 5th Grade General Studies Thank you for taking the time to provide Atlanta Jewish Academy with the following evaluation information. Your assessment of the Applicant helps us determine how to best meet his/her educational needs. Please make sure the information your provide is complete and accurate. Incomplete and/or incorrect information may results in a delay or denial of admission. The Applicant's parents WILL NOT be given a copy of your responses. (This question is mandatory) Student's Name (This question is mandatory) Student's Current Grade (This question is mandatory) Applying to Grade Choose one of the following answers Please choose... 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade (This question is mandatory) Today's Date Date format: mm/dd/yy Open date/time selector Format: mm/dd/yy 1900-01-01 2187-12-31 MM/DD/YY (This question is mandatory) Teacher or administrator, please check the areas listed below with the appropriate response. Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to concentrate Excellent Above Average Average Below Average No Basis for Judgment Demonstrates self-control - physical activity Excellent Above Average Average Below Average No Basis for Judgment Demonstrates self control - verbal activity Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to adapt to change in daily schedule Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to make transitions from activity to activity Excellent Above Average Average Below Average No Basis for Judgment Demonstrates organizational skills Excellent Above Average Average Below Average No Basis for Judgment Demonstrates self-motivation Excellent Above Average Average Below Average No Basis for Judgment Demonstrates positive peer relationships Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to work independently Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to work in a group Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to cope with competitive situations Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to maintain classroom behavioral expectations Excellent Above Average Average Below Average No Basis for Judgment Demonstrates the ability to handle disappointment Excellent Above Average Average Below Average No Basis for Judgment Please comment on anything marked Below Average or feel would be helpful for us to know. (This question is mandatory) Teacher or administrator, please check the areas listed below with the appropriate response pertaining to English/Language Arts. Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Reading Decoding Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Reading Fluency Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Reading Comprehension Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Written Expression Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Please comment on anything marked Below Grade Level or feel would be helpful for us to know. Please list the names of any spelling, grammar, and/or reading programs used in the classroom. What is the student's guided reading level? What program was used to assess this level? Please upload a first draft writing sample for the student. Please upload at most one file Upload file Title Comment File name × Upload file (This question is mandatory) Teacher or administrator, please check the areas listed below with the appropriate response pertaining to math. Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Fact Fluency Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Operations and Computation Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Process and Application Above Grade Level On Grade Level Below Grade Level No Basis for Judgment Please comment on anything marked Below Grade Level or feel would be helpful for us to know. Please list the names of any math programs and/or materials used in the classroom. (This question is mandatory) Has the student been referred to a school counselor or other professional for: Yes Uncertain No Academic Needs Yes Uncertain No Emotional Needs Yes Uncertain No Social Needs Yes Uncertain No Behavioral Needs Yes Uncertain No Speech Language Needs Yes Uncertain No Occupational Therapy Needs Yes Uncertain No If you checked yes to any of the above questions, please provide further comments. Is there anything about this student’s academic, social, emotional or behavior performance that puzzles and/or interferes with their learning? (This question is mandatory) Does this child have a psych ed, IEP, 504, learning plan, and/or behavior plan on file? Yes No (This question is mandatory) Please describe the nature of the student's relationship with teachers/authority. (This question is mandatory) Please describe the child's relationships with peers. (This question is mandatory) Please describe parental involvement. (This question is mandatory) Are the parent's expectations in line with the child's performance in the classroom? Please give additional information that you think would be helpful to the Atlanta Jewish Academy in assessing and planning for this student. (This question is mandatory) Would you like to be contacted to share any further information about this child? Yes No (This question is mandatory) Teacher Name/ Title (This question is mandatory) School Name (This question is mandatory) Date form completed Date format: mm/dd/yy Open date/time selector Format: mm/dd/yy 1900-01-01 2187-12-31 MM/DD/YY (This question is mandatory) Teacher Contact Information Email Phone Number Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
