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Middle/High School Confidential Report

About

About

We appreciate your cooperation in completing this form. It is one way for us to get to know each child and is reviewed with all of the other information provided with the application. This form will not become part of the student’s permanent record. We value your candid opinion of the applicant. You may be assured that the contents of this report will be kept confidential.
Student's Name*
First Last
How long have you known the student?*
In what grades or subjects have you taught him/her?*
Please indicate the outstanding attributes of this student in a few words or adjectives.*
To your knowledge, has the student had either serious or minor but sustained, discipline issues at school?*
- Yes
- No
If yes, briefly explain
In your experience, is the parent’s perception of the student compatible with the school’s understanding of the student?*
Please describe the parent’s involvement in school activities.*
- Appropriately involved
- Overly involved
- Rarely involved
- No basis for judgment
Comments
If you are aware of any family circumstances that affect the student’s life at home/school please describe?
What kind of support might the student need from our school to reach his or her potential?
Is there any additional information that can be better conveyed in a phone conversation?*
- Yes
- No
Best times to call are:
Please rate the applicant in the following areas:
Academic Qualities
Academic potential*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Academic achievement*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Effort/motivation*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Study habits*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Ability to work in a group*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Ability to work independently*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Ability to communicate ideas*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Homework*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Intellectual curiosity*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Completion of tasks*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Willingness to ask for help*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Ability to follow directions*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Attention span*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Organization*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
English Skills
Reading skill*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Written expression*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Oral expression*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Math Skills
Computation accuracy*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Conceptual understanding*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Personal Qualities
Respect for others*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Self-confidence*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Sense of humor*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Creativity*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Peer interaction*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Leadership potential*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Maturity for age*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Attendance*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Integrity*
- No Basis For Judgment
- Weak
- Fair
- Good
- Excellent
- Exceptional
Use the comment box below to explain any strengths or weaknesses.*
I recommend this student:*
- Enthusiastically
- Confidently
- With reservation
- Do not recommend
Teacher's Name*
First Last
Subject
Email*
Phone*
School Name*

Jul 22

July 22 - July 26

Mountain of Fun Summer Camp: Mountain Explorers, ages 6-9

Jul 22

July 22 - July 26

Mountain of Fun Summer Camp: Redwood Explorers: Creative Arts Impact Camp, ages 9-13

Jul 26

All day

Mountain of Fun Summer Camp: Nature Explorers, ages 3-5

Jul 29

All day

Mountain of Fun Summer Camp: Nature Explorers, ages 3-5

Jul 29

July 29 - August 2

Mountain of Fun Summer Camp: Mountain Explorers, ages 6-9

Upcoming Events:

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