Pre-School Recommendation Form for Pre-K & K

Applicant Information

Applicant First Name *

Applicant Last Name *

Current Grade *

Please click on the rating that best applies in each category

Social/Emotional Development *

	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Cooperates	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Shares well	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Becomes engaged with peers	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Is imaginative	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Shows ability to lead	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Shows ability to follow	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Uses materials purposefully	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Exhibits curiosity	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Shows confidence	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Separates from parent	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Works independently	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Accepts limits/routines	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Exhibits control	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Resolves conflicts independently	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Tolerates frustration	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations

Pre-Academic Skill Development *

	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Works cooperatively	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Listens in a group	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Can focus on one task	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Is a self-starter	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Completes tasks	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Understands directions	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Understands sequence	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Remembers information	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Makes transitions easily	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Expresses thoughts	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Enjoys listening to stories	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Contributes appropriate remarks to a group discussion	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations

Physical Development *

	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Fine motor control	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Gross motor control	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Resilience	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations
Speech development	Area of Concern	Needs Development	Age Appropriate	Exceeds Age Expectations

Handedness *

Right

Left

Mixed

Please comment on applicant’s general health/attendance: *

Please briefly describe the emphasis of your school’s program: *

How many days per week does this child attend your program? Hours? *

Please comment on each of the following regarding this child:

1. Favorite activities. *

2. What adjectives come to mind when you think of this applicant? *

3. Parent cooperation, involvement, and relationship with child. *

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

For children applying for Kindergarten, please comment on:

Beginning reading readiness skills (recognizes letters, writes own name, knows sound/symbol relationships):

Beginning math readiness skills (one to one counting, recognizes numbers, recognizes colors/shapes, follows patterns):

Overall readiness for Kindergarten:

Please check here if you wish to discuss this candidate by telephone

Best time to call

First Name *

Last Name *

Position *

School *

Telephone *

Email *

Re-enter email for accuracy *

Signature *

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Date * +