Studio Prep - Teacher Evaluation

CONFIDENTIAL TEACHER EVALUATION

For Students Applying to The Studio
Child's Name
Today's Date

MonthDayYear
Date
To the Teacher: We appreciate your cooperation in completing this form for the student above who has applied to our school. All information received from you is confidential and will be shared only with Staff. If you have questions, please call (512) 919-4177 or email info@studioprep.org.Thank you.
Name of person completing this form:
May we contact you?

YesNo
Email
example@example.com
Phone number:

Area CodePhone Number
Best time to reach you?
Relationship to applicant:

Current TeacherPrevious TeacherOther
Name of school where you teach/taught the applicant:
Name of the class where you teach/taught the applicant:
I have know the applicant for:

6 months or less1 year2 years3 or more years
My time with the applicant has been:
Subject Mastery
Is this child confident in the subject you teach?

YesNo
In the subject you teach, is this child progressing at developmentally appropriate pace?

YesNo
In the subject you teach, please comment on this child's grasp of basic concepts and problem solving abilities:
General Observations
Please check the words below that best describe this applicant:

Independentcheerfulquietself-disciplinedimpulsivepassiveself-centeredshyirritablecompassionatemanipulativeloneraggressivearticulatehelpfulpositive leaderconscientioussocialgenerousresponsiblesocialwell-likednegative leaderrespectfulfollowerenthusiasticdistractingbossyperfectionistorganizedanxiousattention-seekingeasily frustrateddisorganizeddisobedientdistractible
The ideal classroom environment in which he or she would be most successful:
Particular strengths and areas of concern:
Has the applicant been evaluated for any physical, emotional, or academic reason?

*YesNoDon't know
Have you observed any signs of learning disabilities?

*YesNo
If *yes to any of the above, please explain:
Please describe the parent(s) degree of cooperation and involvement with your school:
Please describe the child in terms of the following categories compared to children of a similar same age:
Self-Motivation and Concentration
Is this child interested and engaged in the learning process? Please comment:
Can this child sit without distracting during a 15-20 minute group activity? Please comment:
Emotional Development
Is this child able to talk about her or his thoughts/feelings/needs?

MostlyOccasionallySeldom
Does this child handle conflict appropriately?

MostlyOccasionallySeldom
Please comment:
Social Compatability
Does this child interact with peers appropriately?

MostlyOccasionallySeldom
Does this child interact with adults appropriately?

MostlyOccasionallySeldom
Please comment:
Signature

Clear
Please verify that you are human*
Should be Empty:

CONFIDENTIAL TEACHER EVALUATION

Please describe the child in terms of the following categories compared to children of a similar same age: