Confidential Principal Evaluation Form

Confidential Principal Evaluation Form

Rising 9th through 12th Grades
Applicant's Name*
Applying for Grade*
How long has the applicant been enrolled in your school?*
Please comment on the applicant's attitude toward school.*
To your knowledge, has the applicant had any history of serious conduct problems? If yes, please explain.*
Has the applicant ever been suspended or expelled? If yes, please explain.*
To your knowledge, is the applicant’s record a true indication of his/her ability, or have outside circumstances interfered with academic achievement? If No, please explain. *
Is the applicant currently involved with extracurricular activities? If yes, please explain. *
Has the applicant ever been a recipient of a special services program, i.e. gifted, learning disability resource center, etc.? If yes, please explain. *
Have teachers and/or representatives of the school administration ever suggested psychological/educational testing for this student? *
Has the applicant ever received professional testing, either in school or out, while enrolled at your school? If so, please describe.
If applicable, please either upload or send with student record.

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Has your school and/or the applicant’s individual teachers ever made any accommodations to her educational program as a result of cognitive, social, or emotional needs? If yes, please describe. *
Please describe parental support/involvement: *

Personal Characteristics and Qualities