Atlanta Area Association of Independent Schools (AAAIS)

Atlanta Area Association of Independent Schools (AAAIS)

Applicant’s Name (First, Last):____________________________

Confidential Common Teacher/Principal Evaluation Form Rising First through Fourth Grades

Parent/Legal Guardian: Please fill out this section and deliver this form to your child’s teacher. Include an addressed and stamped envelope to the school(s) where you wish this evaluation to be sent. The evaluator will mail these forms directly to the Admissions Office. Applicant’s Name:

Preferred Name: (First)

Male

Female

(Middle)

(Last)

Date of Birth:

Entry Year:

Applying for Grade:

Applicant’s Current School: Address of Current School: Telephone: (City)

(State)

(Zip)

To Parent/Legal Guardian: By submitting this evaluation form and in consideration of having this evaluation and your application considered by the member of the Atlanta Area Association of Independent Schools (AAAIS), you hereby release said member, its employees and representatives, the evaluator and the evaluator’s employer from any and all claims and liability that may arise from the providing, obtaining or using the form and the substance of the information provided by the evaluator. All information provided on the attached evaluation form will be held in strictest confidence and will not be shared with students, parents, or guardians. This will remain confidential and not become part of the student’s permanent academic record.

Signature of Parent or Legal Guardian

Date

Evaluator: Your candid appraisal of this child will be of invaluable assistance in giving us a complete and fair evaluation of this applicant. We appreciate your cooperation; your evaluation will be held in strict confidence. How long and in what capacity have you known the applicant?

ENGLISH/LANGUAGE ARTS: Reading Comprehension Verbal Expression Written Expression: Composition Written Expression: Grammar

EXCELLENT    

ABOVE AVERAGE    

AVERAGE    

BELOW AVERAGE    

NO BASIS FOR JUDGMENT    

EXCELLENT    

ABOVE AVERAGE    

AVERAGE    

BELOW AVERAGE    

NO BASIS FOR JUDGMENT    

EXCELLENT         

GOOD         

FAIR         

POOR/ LIMITED         

NO BASIS FOR JUDGMENT         

Names of textbooks and publishers: MATH: Ability to grasp new concepts Analytical ability Application of skills Knowledge of basic skills Names of textbooks and publishers:

ACADEMIC SKILLS: Academic Potential Creativity Critical/Abstract Thinking Skills Determination /Effort Intellectual Curiosity Motivation Oral Expression Organizational Skills Study Skills

Confidential Common Teacher/Principal Evaluation Page 1 of 2

Atlanta Area Association of Independent Schools (AAAIS) Copyright © 2016 All Rights Reserved

WORK SKILLS: Ability to work in a group

Consistently works well

Occasionally has trouble

Usually has difficulty

Has great difficulty

Ability to work independently

Consistently works well

Needs help occasionally

Needs help frequently

Needs constant help

Attention span

Actively engaged Joins in readily Consistently Excellent Easily and accurately Consistently

Attentive Contributes occasionally Usually Good Usually Usually

Variable attention Wants to dominate Needs additional time Fair Needs much explanation Sometimes

Requires frequent redirection Rarely contributes Has difficulty Poor Rarely Rarely

Good Good Usually considerate Age appropriate Usually trustworthy Can follow or lead Healthy relationships Good Usually positive Usually responsible Needs some support Good Good Usually cooperates Usually friendly

Fair Fair Occasionally Considerate Sometimes immature Occasionally trustworthy Leads on occasion Occasional problems Fair Occasional problems Sometimes responsible Seems over-confident Fair Fair humor Occasionally cooperates Occasionally friendly

Poor Poor Rarely Considerate Very immature Questionable Rarely leads Relates poorly Poor Shows little respect Rarely responsible Poor self-image Poor Poorly developed Rarely cooperates Rarely friendly

Class participation Completes assignments on time

Fine motor skills Follows directions Takes initiative

SOCIAL SKILLS & PERSONAL QUALITIES: Excellent Attitude toward school Excellent Citizenship Very considerate Concern for others Very mature Emotional maturity Highly trustworthy Integrity Leader Leadership potential Role model Peer relations Reaction to criticism/setbacks Excellent Courteous Relationships with adults Very responsible Responsibility Healthy self-image Self-confidence Excellent Self-control Highly developed Sense of humor Consistently cooperates Spirit of cooperation Consistently friendly Warmth of personality Areas in which the applicant has the greatest strengths:

Areas in which the applicant has the greatest needs:

Is the applicant a recipient of a special services program? Gifted Modified curriculum IEP, 504, etc. Learning disability resource center If yes, please explain:

Preferential seating Extra help or tutoring

Extended time N/A Assistive technology

Do you have any reason to question the applicant’s academic or personal integrity? (If applicable) If yes, please explain.

Yes No

What three words come to mind when you think of this student? Please describe parental support/involvement:

Additional comments:

Thank you for your time and evaluation of this applicant. May we contact you if we have questions? Telephone: ____________________________ Evaluator’s Signature: Principal’s Signature (required): Confidential Common Teacher/Principal Evaluation Page 2 of 2

Evaluator’s Title:

Date: Date:

Atlanta Area Association of Independent Schools (AAAIS) Copyright © 2016 All Rights Reserved