Teacher Recommendation Form

Applicant
- Applicant Name*
  First Middle Last
- Program applying for
- Date of Birth*
  MM slash DD slash YYYY
Teacher
- The student listed above has applied for admission to Charlottesville Day School. We would appreciate receiving as much information as possible about the applicant. Please answer the questions below and add any further comments that you feel will be helpful to us. In addition, we would appreciate any evaluations or reports you may already have on file for the applicant. Thank you for your assistance.
- How long has the applicant attended the present school?*
- How long have you known the applicant?*
- Length of school day?
- Number of days/week?
- Is English the applicant’s primary language?*
- Behaviors that promote learning
  
  Please check the appropriate option for each question below: Strength, Developing, or Area of Concern
- Follows school and classroom rules*
- Courteous in words and actions*
- Demonstrates self-control*
- Resolves conflict appropriately*
- Organizes self, materials, belongings*
- Produces quality work*
- Completes tasks within given time*
- Participates in class activities*
- Works independently*
- Works collaboratively*
- Completes assigned homework*
- Communication
  
  Please check the appropriate option for each question below: Strength, Developing, or Area of Concern
- Uses listening and observations skills*
- Communicates ideas clearly and effectively*
- Uses communication strategies and skills to work effectively with peers*
- Uses communication strategies and skills to work effectively with peers*
- Please comment on the following
- Activities this child prefers:
- Most likely to avoid this learning task:
- Greatest strength in dealing with peers:
- General health as exhibited at school (concerns):
- Characteristic response to new task or situation:
- Need for attention:
- Activity/excitability level:
- How child handles frustration:
- Ability to handle transitions in the program:
- Response to discipline:
- Describe the child and family:
  Include any family circumstances of which we should be aware in our evaluation. Please make any other comments about the applicant or note if you would like for us to call you.
- Your Name*
  First Last
- Your Position*
- Name of School*
- Phone Number*
- School Address*
  Street Address City State ZIP Code

Teacher Recommendation Form

Behaviors that promote learning

Communication

Please comment on the following