First Lutheran School - Student Evaluation
Student Name
*
First Name
Last Name
Student's Current Grade Level
*
Evaluator's Name
*
First Name
Last Name
Evaluator's School Name
*
How long have you known the student?
*
Student Skills
*
Rows
Always
Sometimes
Rarely
Never
N/A
Respectful of peers
Uses materials appropriately
Respectful of authority figures
Honors classroom policies
Follows direction
Stays on task
Responsible
Out of the box thinker
Takes initiative
Honest
Works to potential
Able to work independently
Able to work with others
Demonstrates effective
organizational skills for age/grade
Student Support
*
Rows
Yes
No
N/A
Active IEP
Active 504 plan
Receives external support
Receives Special Services (on or off campus)
Enrichment
Did this student receive any accomodations or modifications in your class? If yes, please clarify.
*
Parent(s) or Guardian(s)
*
Rows
Always
Sometimes
Rarely
Never
N/A
Supports school policies and goals
Prompt reply via email or phone
Involved in the classroom
Supports student academically at
home
Works cooperatively with the teacher
Additional Information
What are some of the student's strengths (academic, behavioral, social)?
*
What are some of the student's areas of concern (academic, behavioral, social)?
*
Please share any other information that would help us to get to know this student.
*
Submit
Should be Empty: