Elementary Teacher Recommendation

Applicant’s Name*

First Last

Applying for grade*

Name of Parent/Guardian*

First Last

Academic Traits

Attention Span*

Follows Directions*

Ability to Work Independently*

Works Cooperatively*

Written Expression*

Oral Expression*

Reading Level*

Comprehension*

Mathematical Ability*

Self Motivation*

Organization*

Perseverance*

Intellectual Curiosity*

Academic Potential*

Academic Achievement*

Behavior/Study Skills

Neatness*

Response to Correction*

Concern for Others*

Self Control*

Leadership*

Respect for Authority*

Assignment Completion*

Initiative*

Motivation*

Maturity for Age*

Attendance*

What are this student’s strengths and weaknesses?*

Additional Comments*

Have you observed any signs of learning disabilities/special needs?*

Yes
No

Does this student receive any special accommodations?*

Yes
No

Please explain*

Parent involvement*

High
Average
Seldom
Seldom

Parent Cooperation*

Very Cooperative
Usually Cooperative
Not Cooperative

Please check one of the following regarding this student:*

I highly recommend
I recommend
I recommend with reservations
I do not recommend

Please explain*

Teacher Name*

First Last

School*

Teacher Signature*

Date*

Telephone Number*

Email*

Please fill out the form below.

Academic Traits

Behavior/Study Skills

Legacy Christian School

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