Elementary Teacher Evaluation Form

Thank you for taking your time to complete this form on behalf of the applicant. Information provided in this form will be kept confidential and not shared with the applicant or their family. Thank you for your time and candor!

This form can be saved and returned to at a later time. A unique link to your submission will be sent to the email address you provide.

Please reach out to admissions@theislandschool.org if you have any questions.
Applicant's Name:*

First NameLast Name
Applying for grade:*
Person completing this form:*

Teach's First NameTeacher's Last Name
School Name:*
Grade level(s) you taught the applicant:*
In what capacity did you teach the applicant?*

HomeroomSubject specialist teacher
Which subject did you teach the applicant?
Additional details, if needed:
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Parent-Guardian and Teacher/School Relationship
Are the parent(s)/guardian(s) supportive of the applicant's strengths and challenges? Have their expectations and perceptions of their child and your program been in alignment with yours and the school's?*
Share any additional information which you think might help us make an informed decision here.

Sign & Submit
We recognize that completing this form is not part of your official duties, and we greatly appreciate you helping the applicant by supplying the information requested.

Please note that the informaiton you submitted will be confidential, will not be shared with the applicant or with their family, and will not become part of the applicant's permanent school records.

Thank you for you time and candor! A copy of this form will be automatically emailed to you upon submission.
Is there anything else you would like to discuss over a phone call?*

Yes.No.
If we have any clarifying questions, are you open to a follow-up phone call?*

Yes.No.
Signature
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MonthDayYear
Date
Should be Empty:

Rows	Consistently	Usually	Sometimes	Rarely	Never	N/A
Exhibits empathy toward peers.
Cooperates in work and play.
Resolves differences appropriately.
Assumes a leadership role with peers.
Can follow the lead of peers.
Perseveres with difficult tasks.
Accepts responsibility for behavior.
Demonstrates self-control in class.
Demonstrates self-control on the playground.
Transitions appropriately between activities.
Displays age-appropriate resilience.
Contributes to class discussions.
Works with independence and self-direction.
Listens to and follows directions.
Uses class time efficiently.
Sustains attention and focus.
Accepts criticism appropriately.
Open to new challenges.
Exhibits problem-solving ability.
Seeks help when needed.

Student Skills & Behaviors