Teacher Recommendation Form

1403 Regency Drive East, Savoy, IL 61874

(217) 356-1818

Prospective Student Assessment*

	Never	Seldom	Sometimes	Often	Always
Shows intellectual curiosity
Completes work/activities
Works independently
Follows directions
Transitions easily
Intrinsically motivated to learn
Has an age-appropriate attention span
Has positive relationships with peers and adults
Cooperates
Works well in a group
Accepts limits/boundaries
Shows respect for the needs of others
Accepts responsibility for their actions
Handles academic work without special assistance
Completes work in a timely manner
Is able to self-advocate
Makes good use of work time
Maintains an organized/neat work area
Verbally aggressive
Physically aggressive
Stays on task
Shows age-appropriate executive functioning skills
Practices self-control
Shows integrity/honesty
Manages conflict resolution well

Please describe this student's reading, writing, and penmanship skills. Please include their current reading level.*
Please describe what this student is currently working on in math and what skills they have already mastered.*
Please describe this student's social/emotional strengths and areas of concern, as well as any work/study habits you think would be helpful for us to know.*
Kindergarten Recommendation

Prospective Kindergartener Assessment*

	Never	Seldom	Sometimes	Often	Always
Shows intellectual curiosity
Has a willingness to complete activities
Is able to work independently
Can follow directions
Makes transitions easily
Is internally motivated to learn
Has an age-appropriate attention span
Participates readily in class
Has good relationships with peers
Is cooperative
Can collaborate with peers productively
Can accept limits
Has respect for the rights of others
Is sensitive to the needs of others
Accepts responsibility for his/her own actions
Can handle academic requirements without special assistance
Is appropriately assertive
Works effectively during unstructured time
Resorts to verbal aggression with others
Resorts to physical aggression with others

Please share in your own words what strengths and areas for growth you have observed in this student, as well as any relevant experiences or anecdotes that help paint a picture of this student's work ethic, academic development, and social-emotional maturity as exhibited in the classroom.*
Teacher's Information
Recommending Teacher's Name*
First Last
Title*
Year(s) Student Was in Your Classroom*
School Name*
I give permission for MSCU to contact me with further questions about this student:*
- YES
- NO
I prefer to be contacted via:*
- Phone call
- Email
- Either phone or email is fine
Phone*
Email*
I certify that I am the recommender whose name is printed above and that the feedback I have provided is true to the best of my knowledge.*

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Student Information