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