Teacher Evaluation Request

Teacher Evaluation Request
Child's Name
Grade for 27-28 School Year
Upon receipt of this form, we will share the Teacher Evaluation Form with your child's teacher.
Please check here to verify that you will contact your child's teacher(s) to give them permission to complete and return the form to Perkins. Thank you!
Current Classroom Teacher
Teacher's Email
OPTIONAL: Most families request a single Teacher Evaluation (and this is all that we require!). However, if you would like our admissions committee to consider a second evaluation (for example, from a prior year teacher or a learning specialist), please share that teacher's information below.
Additional Teacher's Name (optional)
Additional Teacher's Email (optional)
Your Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: