SAIS Teacher-Recommendation-Form 1
SAIS Teacher-Recommendation-Form 1
Academic Qualities
(Note: Please tick ( √) the box that corresponds to the above student.)
Academic Ability ㅁ ㅁ ㅁ ㅁ ㅁ
Academic
Achievement ㅁ ㅁ ㅁ ㅁ ㅁ
Individual
Academic Growth ㅁ ㅁ ㅁ ㅁ ㅁ
Effort and Drive ㅁ ㅁ ㅁ ㅁ ㅁ
Intellectual
Curiosity ㅁ ㅁ ㅁ ㅁ ㅁ
Written
Expression of
Ideas
ㅁ ㅁ ㅁ ㅁ ㅁ
Oral Expression
of Ideas ㅁ ㅁ ㅁ ㅁ ㅁ
Ability to work
Independently ㅁ ㅁ ㅁ ㅁ ㅁ
Study Habits ㅁ ㅁ ㅁ ㅁ ㅁ
Concentration ㅁ ㅁ ㅁ ㅁ ㅁ
Overall
Performance ㅁ ㅁ ㅁ ㅁ ㅁ
Conduct ㅁ ㅁ ㅁ ㅁ ㅁ
Integrity ㅁ ㅁ ㅁ ㅁ ㅁ
Maturity ㅁ ㅁ ㅁ ㅁ ㅁ
Sense of Humor ㅁ ㅁ ㅁ ㅁ ㅁ
Self-Confidence ㅁ ㅁ ㅁ ㅁ ㅁ
Ability to Use
Suggestions ㅁ ㅁ ㅁ ㅁ ㅁ
Ability to Seek Help ㅁ ㅁ ㅁ ㅁ ㅁ
Ability to Work
with Others ㅁ ㅁ ㅁ ㅁ ㅁ
Relationship with
Peers ㅁ ㅁ ㅁ ㅁ ㅁ
Consideration of
Others ㅁ ㅁ ㅁ ㅁ ㅁ
Organizational
Skills ㅁ ㅁ ㅁ ㅁ ㅁ
Time
Management
Skills
ㅁ ㅁ ㅁ ㅁ ㅁ
Attitude of
Parents ㅁ ㅁ ㅁ ㅁ ㅁ
Do you know if the student had any extra-curricular activities or involvements at school?
(Please check all that apply)
ㅁ Art ㅁ Band, Choir or Strings ㅁ Other ㅁ Student Leadership Role
ㅁ Drama ㅁ Sports ㅁ None
Additional Information
Has this student ever been suspended, asked to leave and/or told to voluntarily withdraw from
school? ㅁ Yes ㅁ No
Are you aware of any additional learning or behavioral support that has been provided to this
student or if a condition exists that requires the need for extra support? (Individualized Education
Plan, Learning Disability, Speech and Language Therapy, Occupational Therapy, Counseling, etc.)
ㅁ Yes ㅁ No
If “Yes”, please explain:
__________________________________________________________________________________
Additional comments about the student’s academic strengths and weaknesses, outstanding abilities
or significant limitations, learning style, social skills, and/or personal qualities would be greatly
appreciated.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Have there been any safeguarding/child protection concerns regarding this student?
ㅁ Yes ㅁ No
Do you have additional information regarding this child that you would like to disclose by phone
instead of writing? ㅁ Yes ㅁ No
Note: I have completed and signed this questionnaire in the belief that all answers are as accurate as possible.
Thank you for your assistance. Please return the completed form via email directly to [email protected].