Teacher Recommendation
Please rate the performance of the student using a scale of 1-5, 1 indicating "Needs Improvement" and 5 indicating "Excellent." For responses of 1 or 2, please indicate at the bottom what your concerns are. This form is solely for your reference and is not to be submitted as a hard copy. This will allow your responses to remain confidential. Thank you.
Student Name *
Last, First
Your answer
Teacher name and subject taught *
Your answer
Attendance
Does student attend class regularly?
Tardies
Is student on time to class consistently?
Assignments
Does student complete assignments on time?
Redirection
Does student respond well to redirection?
Attitude
Does student display a positive attitude?
Behavior
Does student get along well with others?
Commitment
Does student show the ability to make and keep commitments?
On task
Does student stay focused on on task in class?
Initiative
Does student demonstrate initiative
Self-Advocate
Does student seek extra help when needed?
Comments
If at any time you rated the student a 1 or a 2, please provide comments regarding your response. Thank you.
Your answer
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