By checking the box below, I affirm that I have permission from the above-named student's family to release the information contained within this form to Safety Harbor Montessori Academy. *
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At which school did you teach this student? *
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Which grade levels and subjects did you teach this student? *
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Student's Attributes *
Superior
Above Average
Average
Below Average
Poor
Don't Know or Not Applicable
Academic Ability
Independent Work Habits
Integrity
Motivation
Cooperative Attitude
Social Development
Superior
Above Average
Average
Below Average
Poor
Don't Know or Not Applicable
Academic Ability
Independent Work Habits
Integrity
Motivation
Cooperative Attitude
Social Development
Please describe any strengths or weaknesses not described above.
Your answer
Are you aware of this student qualifying for or being recommended for an educational evaluation? If so, did parents follow up and share results with the school? *
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Please describe the degree of participation the parents have had with their childʼs education. *
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To your knowledge, has any disciplinary action ever been taken against this student? If so, please describe below. *
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Please add any additional comments that you feel would help us evaluate this student.
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If you wish to discuss this student personally, please add your telephone number here, along with a convenient time for us to call you.
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