Confidential Teacher Evaluation Form for students applying to Elim Christian School

Student’s name: _________________________________________________ Present grade: _________ Thank you for taking the time to fill out this form on behalf of the student named above who is applying to our school. After completing the form, please mail it to Elim Christian School, 5151 Addicks Satsuma Rd., Houston, TX 77084.

Teacher name: ______________________________ School name: ______________________________

Grade and subjects taught to this student (ex. 7th gr Sci): _______________________________________

I have known the applicant for ___________years/months.

May we contact you for further information? Yes No

Signature: ______________________________________ Date: ________________________

Email:_________________________________________ Phone: _______________________

Please circle the descriptors that best describes the student: Academic Qualities: 1.  Academic  ability   Superior   Above  grade  level   On  grade  level   Below  grade  level  2.  Academic  achievement  

Far  above  expectations  

Better  than  tests  would  indicate  

As  expected   Below  expectations  

3.  Self-­‐motivation   Well-­‐motivated   Some  desire  to  learn  

Only  what  is  required  

Does  very  little  

4.  Effort   Maximum   Usually  good   Sporadic   Minimal    5.  Study  habits   Well-­‐  organized     Usually  gets  work  

done    Easily  distracted     Poor  habits    

6.  Intellectual  curiosity    

Strong  and  varied     In  one  area  only     An  occasional  spark     Limited    

7.  Ability  to  work  independently  

Always  works  well     Needs  help  occasionally    

Needs  help  frequently    

Needs  much  supervision  

8.  Ability  to  work  in  a  group  

Always  works  well     Usually  effective     Sometimes  unable  to  cope    

Has  great  difficulty  

9.  Ability  to  write   Ideas/mechanics  excellent    

Ideas  good,  mechanics  fair  

Ideas  fair,  mechanics  good    

Ideas/mechanics  limited  

10.  Ability  to  express  ideas  orally  

Exceptional     Good   Has  some  difficulty   Limited  

11.  Uses  suggestions  or  corrections  

Always     Usually     Needs  reminding     Rarely  follows  through  

12.  Seeks  help  when  needed  

Always     Usually   Occasionally     Rarely  

13.  Attention  span   Exceptionally  good     Usually  good     Occasionally  distracted    

Easily  distracted  

14.  Follows  directions  

Quickly  &  correctly   Occasionally  needs  help  

Often  needs  help   Needs  much  explanation  

15.  Participation  in  class  discussions  

Joins  in  readily     Contributes  when  called  on  

Tends  to  dominate   Rarely  contributes  

16.  Reads  for  pleasure  

Constantly     Frequently     When  encouraged  to  do  so  

Rarely    

17.  Knowledge  of  basic  skills    

Excellent     Above  average   Average     Below  average  

18.  Creativity     Excellent   Above  average   Average   Below  average      Personal Qualities 1. Maturity for age/grade

Very mature Average Somewhat immature Distinctly lower than classmates

2. Consideration of others

Thoughtful Usually considerate Rarely considerate Usually selfish

3. Social skills with peers

Healthy Occasional minor problems

Frequent minor problems

Relates poorly

4. Sense of humor Delightful Good Normal Rarely laughs or smiles

5. Integrity Very honest Usually trustworthy Some reservations Untrustworthy 6. Conduct Well-behaved Usually obeys rules Occasional

misconduct Frequently disruptive

7. Health Excellent Occasionally ill Frequently ill 8. Emotional stability

Exceptionally stable Well balanced ____ Excitable ____ Unresponsive ____ Distractible

____ Hyper-emotional ____ Apathetic

8. Attendance Excellent Occasionally absent Absences at times detrimental to learning

Absences often detrimental to learning

9. Attitude of parents

Cooperative Indifferent Overly protective Antagonistic

Please describe the student’s academic ability in your subject area. Comment on strengths, weaknesses and special interests. _____________________________________________________________________________________

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Please comment on other areas (physical, social, spiritual, etc.) pertinent to our evaluation of the student. _____________________________________________________________________________________

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Describe how the student contributes to your school community (character, citizenship, leadership, etc.): _____________________________________________________________________________________

_____________________________________________________________________________________

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As far as you know, has the student - ever undergone a formal evaluation for physical, emotional or academic reasons? Yes No - been on medication either previously or currently? Yes No - displayed any indications of learning disabilities? Yes No - ever been involved with drugs, alcohol, or juvenile delinquency? Yes No - ever been suspended or expelled? Yes No