Teacher - Please complete this confidential form.  This information will be treated confidentially and will not be shared with parents.  You will receive an electronic copy for your files upon submission via the email address provided.  Thank you for your cooperation and honesty.  The student's application cannot be processed until this form is received by our Admissions Office.

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* 1. Enter the student's full name

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* 2. Enter the grade or subject area you taught them.

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* 3. Overall, is this student in good standing and eligible to re-enter your school whether or not you offer the next grade level?

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* 4. Please enter your teacher and school information below.

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* 5. I would be willing willing to discuss this applicant by telephone

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* 6. Social Skills Ratings

  Exceeds Expectations Area of Strength Age Appropriate Progressing Area of Concern
Listens to and follows teacher's directions
Is attentive to group discussions/activities
Contributes appropriately to group discussions/activities
Demonstrates ability to work independently
Perseveres in spite of difficulty
Works cooperatively
Enjoys new challenges
Moves easily from one activity to another

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* 7. Social Skills Ratings

  Exceeds Expectations Area of Strength Age Appropriate Progressing Area of Concern
Demonstrates ability to stay on task
Ability to complete work in a timely manner
Ability to express ideas verbally
Clarity of writing
Grammar/mechanics skills
Reading rate and fluency
Reading comprehension
Knowledge and usage of vocabulary

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* 8. Social Skills Ratings

  Exceeds Expectations Area of Strength Age Appropriate Progressing Area of Concern
Imagination and creativity
Problem-solving skills
Willingness to take risks
Reads for pleasure
Number's sense
Spatial sense
Academic curiosity
Responds positively to constructive criticism
Establishes friendships easily

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* 9. Social Skills Ratings

  Exceeds Expectations Area of Strength Age Appropriate Progressing Area of Concern
Is comfortable in a group
Respectful of property (personal and others)
Accepts responsibility for actions
Demonstrates self-control
Takes responsibility for belongings
Is Cooperative
Demonstrates appropriate energy level
Exhibits emotional maturity
Takes pride in appearance

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* 10. Check all the words that best describe this applicant:

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* 11. Please describe the student's academic/social strengths, assets, and gifts:

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* 12. Please describe the student's academic/social challenge and areas of support:

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* 13. Please add any additional information that would provide a more complete picture of the student and family. (optional)

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* 14. This applicant/family is habitually tardy or late:

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* 15. Parent Support:

  Consistently Usually Seldom Not Observed
Parent(s) participate in school activities
Parent(s) support school policies and procedures

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* 16. This applicant/student is:

T