CRISTO REY ATLANTA JESUIT HIGH SCHOOL Confidential Common Teacher Evaluation Form 8th grade English Teacher
8th grade Math Teacher
Principal or Counselor
Parent or Guardian To Parent / Legal Guardian: Please write your child's name in the space above and read and sign the following before giving this to your child's teacher. Please include an addressed/stamped envelope for the teacher to mail back the form. I understand and agree that the information contained on this Teacher Evaluation Form is confidential and will be used only in the selection of applicants and will not become part of the applicant's permanent file. I also agree that this completed form will not be available to applicants, parents, or anyone outside of the Admissions Committee, and I waive any right that I may have to see it. Signature of Parent or Legal Guardian: _______________________
Date: __________________
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A los Padres o Tutores Legales: Por favor escriba el nombre de su hijo(a) en el espacio de arriba, por favor lea y firme esta forma antes de entregársela a el/la maestro(a) de su hijo(a). Incluya por favor un sobre con estampilla para que el/la maestro(a) envié esta forma de regreso a la escuela. Entiendo y acepto que la información contenida en este formulario de evaluación del maestro es confidencial y será utilizada sólo en la selección de candidatos y no se convertirá en parte del archivo permanente del solicitante. También estoy de acuerdo que este formulario completo no estará disponible para los solicitantes, padres o cualquier persona fuera del Comité de Admisiones, y renuncio a cualquier derecho que pueda tener para verlo. Firma de alguno de los Padres o Tutor Legal: ______________________
Fecha: __________________
Applicant’s Name: (First)
Male
Female
(Middle Initial)
(Last Name)
Current School:
School Address: This student has applied to Cristo Rey Atlanta Jesuit High School, a challenging college preparatory school with a work study program. We ask your candid evaluation of the student. Your evaluation will be treated confidentially and will not be shared with parents. You may wish to retain the original copy for your files to send to additional schools. Thank you for your cooperation and honesty. Feel free to add additional pages to this form. For more information about the program, visit www.cristoreyatlanta.org. Please return this form ASAP to Cristo Rey Atlanta Jesuit High School in a sealed envelope. You may scan and email the form to
[email protected].
1. How long and in what capacity have you known this applicant?
2. Has the applicant ever received or is currently receiving any of the special services program listed below? Gifted Modified curriculum Preferential seating Extended time IEP or 504 Extra help or tutoring Learning disability If yes, please explain:
3. Do you have any reason to question the applicant’s academic or personal integrity? If yes, please explain.
Revised: 09/14/2015
Yes
No
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CRISTO REY ATLANTA JESUIT HIGH SCHOOL Confidential Common Teacher Evaluation Form Applicant’s Name: Please evaluate the candidate in the following areas by placing a check in the appropriate column. GENERAL INFORMATION
Excellent
Good
Fair
Poor/ Limited
No Basis for Judgment
Excellent
Above Average
Average
Below Average
No Basis for Judgment
Excellent
Above Average
Average
Below Average
No Basis for Judgment
Excellent
Good
Fair
Motivation and Initiative Honesty/Integrity Attendance Interpersonal Relations with adults Interpersonal Relations with peers Perseveres in spite of difficulty Demonstrates ability to stay on task Exhibits appropriate work ethic ENGLISH/LANGUAGE ARTS Reading Comprehension Written Expression: Composition Written Expression: Grammar
MATH Ability to grasp new concepts Analytical ability Knowledge of basic skills Problem Solving Computational Skills
ACADEMIC SKILLS
Basis for Poor/Limited No Judgment
Academic Potential Creativity Critical/Abstract Thinking Skills Determination Intellectual Curiosity Motivation Oral Expression Organizational Skills Study Skills Completion / Quality of Homework
Revised: 09/14/2015
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CRISTO REY ATLANTA JESUIT HIGH SCHOOL Confidential Common Teacher Evaluation Form Applicant’s Name: 4. What are three words that you will use to describe this applicant?
5. Briefly describe the applicant’s work habits/abilities/challenges.
6. How does the applicant respond to correction or redirection?
7. Our college-preparatory program includes an extended school day and year, an extensive amount of homework per night, and five full days of work each month in a corporate job. Describe this student’s ability to be successful both academically and behaviorally in such an environment.
8. Overall: (check one) I strongly recommend this student I recommend this student I recommend with reservation I do not recommend If you checked “I recommend with reservation” or “I do not recommend” please explain.
I would like to discuss this applicant by telephone. I would be willing to discuss this applicant by telephone. Print Name:
Title:
Phone:
email:
Signature: ____________________________________ Date: _______________________________ The student’s application cannot be processed until this form is received in the Admissions Office. You can mail, or scan and email the form. You can mail the form to:
You can scan and email the form to:
Cristo Rey Atlanta Jesuit High School Attn: Admissions Office 680 West Peachtree St, NW, Atlanta GA 30308
[email protected]
Questions? Please call the Admissions Office:
404-637-2897
Revised: 09/14/2015
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