"Teacher Evaluation Form for Applicants to Grades 1-5 - Puget Sound Independent Schools"

ADVERTISEMENT
ADVERTISEMENT

Download "Teacher Evaluation Form for Applicants to Grades 1-5 - Puget Sound Independent Schools"

315 times
Rate (4.6 / 5) 16 votes
Mail Completed Form To:
Teacher Evaluation Form
The Perkins School
for Applicants to Grades 1-5
9005 Roosevelt Way NE
Seattle, WA 98115
Recognizing that completing this form is not
Applicant’s Name:
part of your official duties, our schools greatly
appreciate your helping the applicant by
Current School:
Current Grade:
supplying the information requested. Please
Person(s) Completing this Form:
note that the information you submit will
be confidential, will not be shared with the
student and family, and will not become
part of the student’s permanent school
How long have you known this student and in what capacity?
records. In order to establish and honor
confidentiality, please send this form directly
to the schools requested.
What are the first few words that come to mind to describe this student?
area of
area of
Social Development
strength
concern
Comments:
Exhibits empathy toward peers
Respects individual differences
Cooperates in work and play
Resolves differences appropriately
Demonstrates ability to lead
Demonstrates ability to follow
Persists with difficult tasks
Helps out willingly
Accepts reponsibility for behavior
Observes class and school expectations
Makes transitions smoothly
Exhibits sense of humor
Displays stamina and resilience
area of
area of
Physical Development
strength
concern
Small muscle control and development
Comments
Large muscle control and development
Speech and articulation
area of
area of
Academic Development
strength
concern
Phonics and word attack skills
Comments
Reading comprehension
Independent reading
Expresses ideas well verbally
Expresses ideas well in writing
Math facts
Math concepts
Application of mathematics
Mail Completed Form To:
Teacher Evaluation Form
The Perkins School
for Applicants to Grades 1-5
9005 Roosevelt Way NE
Seattle, WA 98115
Recognizing that completing this form is not
Applicant’s Name:
part of your official duties, our schools greatly
appreciate your helping the applicant by
Current School:
Current Grade:
supplying the information requested. Please
Person(s) Completing this Form:
note that the information you submit will
be confidential, will not be shared with the
student and family, and will not become
part of the student’s permanent school
How long have you known this student and in what capacity?
records. In order to establish and honor
confidentiality, please send this form directly
to the schools requested.
What are the first few words that come to mind to describe this student?
area of
area of
Social Development
strength
concern
Comments:
Exhibits empathy toward peers
Respects individual differences
Cooperates in work and play
Resolves differences appropriately
Demonstrates ability to lead
Demonstrates ability to follow
Persists with difficult tasks
Helps out willingly
Accepts reponsibility for behavior
Observes class and school expectations
Makes transitions smoothly
Exhibits sense of humor
Displays stamina and resilience
area of
area of
Physical Development
strength
concern
Small muscle control and development
Comments
Large muscle control and development
Speech and articulation
area of
area of
Academic Development
strength
concern
Phonics and word attack skills
Comments
Reading comprehension
Independent reading
Expresses ideas well verbally
Expresses ideas well in writing
Math facts
Math concepts
Application of mathematics
area of
area of
Skills and Work Traits
strength
concern
Comments:
Listens carefully during group times
Contributes to class discussions
Works with independence and self-direction
Follows directions
Uses class time efficiently
Completes class work on time
Completes homework on time
Sustains attention and focus during work time
Keeps belongings and materials organized
Responds positively to constructive criticism
Is curious and enthusiastic about learning
Enjoys new challenges
Exhibits problem-solving ability
Exhibits self-help skills
In group situations, what behaviors does this child typically display?
Tries to control Takes a leadership role Participates cooperatively Observes Seeks attention
Does this child demonstrate particular strength in any of the following areas? Please elaborate.
Academic
Artistic
Music
Social/Emotional
Athletic/Dance
Creativity
other:
Does this child need special support in any of the following areas?
Academic
Social/Emotional
none
other:
Are the parents of this applicant supportive of their child’s strengths and challenges? Have their expectations and
perceptions of their child and your program been in alignment with yours and your school’s? Please comment:
How would you characterize this child’s interactions with other students? With adults?
We would appreciate any additional information which you think would help our school make an informed
decision:
Mail Completed Form To:
Thank you for your time and candor. May we contact you if we need clarification?
Yes
No
The Perkins School
Best phone number:
work
cell
home
9005 Roosevelt Way NE
Seattle, WA 98115
E-mail:
work
home
Signature:
Date:
Page of 2