HAIS Common Teacher Recommendation
Early Childhood through Kindergarten
Name of Applicant: ____________________________________________ Applying for Grade: ____________
Name of school completing recommendation: _____________________________________________________
Teacher - Please be sure to download this form to your desktop prior to filling in electronically. Please save after
completion and upload to email request. As an alternative, this form may be printed, completed by hand, scanned
and uploaded to email request. This Teacher Recommendation form will be treated confidentially and will not be
shared with parents. Thank you for your cooperation and honesty. You may wish to retain the original copy for your files
to send to additional schools. The student’s application cannot be processed until the form is received in the Admissions
Office. Deadlines are determined by individual schools.
Please place an "x" in the appropriate box below and comment. Thank you.
Social Skills Ratings
Exceeds
Expectations
Area of
Strength
Age
Appropriate
Progressing
Area of
Concern
Please Comment
Self-esteem
Acceptance of Limits
Self-motivation
Ability to work independently
Interaction with peers
Interaction with teachers
Uses words to express feelings
Internalization of classroom routine
Separation from parents/caregivers
Ability to share and work cooperatively
Ability to wait turn
Respect for property (personal and others)
Accepts responsibility for actions
Sense of humor
Curiosity/imagination
Attention span: self-chosen activity
Attention span: assigned activity
Cooperative attitude
Leadership skills
Makes transitions easily
Ability to focus in large group
Ability to focus in small group
Responds to redirection
alone
leader
Usually chooses to work in: large group
Usually takes role of:
Hand dominance: right
small group
follower
left
varies
not yet established
Physical Development Ratings
Area of
Strength
Age
Appropriate
Progressing
Area of
Concern
Please Comment
Fine motor coordination
Draws with details
Uses appropriate pencil grip
Gross motor coordination
Body/space awareness
Balance, gait, fluidity, smoothness of movement
Participate in physical group activity
HAIS Common Teacher Recommendation
Early Childhood through Kindergarten (Page 2)
Name of Applicant: __________________________________________________ Applying for Grade: _______________
Please describe any notable social or emotional strengths or weaknesses. What steps have been taken to address the areas of concern?
_____________________________________________________________________________________________________________
_________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Please note any physical, visual and/or auditory strengths or weaknesses:
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Select the words below that best describe this applicant:
Aggressive Courteous Easily-frustrated Independent Respectful
Articulate Curious Flexible Inquisitive Self-regulated
Cheerful Detached Good-natured Oppositional Serious
Confident Determined Impulsive Over-protected Spirited
Please add any additional information that would provide a more complete picture of the student and family:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Applicant is habitually tardy or late: ¨ Yes ¨
No If yes, please explain below:
____________________________________________________________________________________________________________________
This applicant is:
Strongly Recommended Recommended Recommended with Reservation Not Recommended
I would: like to be willing to discuss this applicant by telephone.
Teacher Verification
Teacher Signature: Date:
Print Name: School Address:
Teacher Email:
Home Phone: Telephone: