Recommendation Form for Grade 5

Applicant Information

Applicant First Name *

Applicant Last Name *

Current Grade *

How long have you known the candidate? *

In what connection? *

Please click on the rating that best applies in each category

Academic Development *

	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Reading Decoding skills (Reading)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Comprehension (Reading)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Computation (Math)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Conceptualization (Math)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Problem solving (Math)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Comprehension (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Follows directions (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Oral expression (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Written expression (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Vocabulary (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Attention span (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Motivation (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Study habits (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Quality of work (Language)	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Contributions to group	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Achievement relative to potential	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations

Social/Emotional Development *

	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Level of maturity	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Relationship with peers	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Relationship with adults	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Relationship with parents	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Consideration of others	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Adaptability	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Sense of humor	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Curiosity	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Imagination and creativity	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Self-confidence	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Conduct	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations

Please comment

1. What three adjectives come to mind to describe this applicant? *

2. Emotional development (self-image, acceptance of limits/routines, ability to make transitions, tolerance of frustration): *

3. Social maturity (cooperation, respect for the rights of others, willingness to share, acceptance of constructive criticism): *

4. Personal qualities (leadership, character, honesty, sense of humor, responsibility, concern for others): *

5. Academic development: Please define areas of academic strength and weakness and comment on their nature and extent. *

6. Special interests or talents: *

7. Parent cooperation and involvement: *

8. To your knowledge, is the parents’ perception of their child compatible with the school’s understanding of the child? *

9. Comments or other information you believe might be helpful: *

Summary

In relation to students of the same age you have known, how would you rate the candidate?

Social/Emotional Development *

	Weak	Fair	Good	Excellent	Exceptional
Academic Promise	Weak	Fair	Good	Excellent	Exceptional
Character and Personal Promise	Weak	Fair	Good	Excellent	Exceptional
Overall Evaluation	Weak	Fair	Good	Excellent	Exceptional

Recommender Information

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First Name *

Last Name *

Position *

School *

Telephone *

Email *

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Signature *

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Date * +