Pinecrest School Teacher Recommendation Form

-This is a Teacher Recommendation Form for students applying to preschool through sixth grade at Pinecrest School in Annandale, Virginia. This form is to be completed by a current teacher, school leader, counselor or daycare provider who knows the child well. If a current educator is not available, a previous educator may complete the form.

-Once you click "Submit," the form is no longer accessible to you and cannot be edited.

-An email confirmation will be sent to you from Pinecrest School after your form has been received and reviewed.

-Please contact admissions@pinecrestschool.org with questions.

Child's Name

Child's First & Last Name *

Current Grade or Class *

School or Center Child Currently Attends (please include full mailing address) *

First & Last Name of Educator Completing This Form *

Your Relationship to the Child *

Your Email Address *

Your Phone Number

How long have you known and/or taught this child? *

Describe the class/program in which the child was enrolled in your school/center. *

I taught this student (check all that apply) *

in person

virtually

Describe the class/program in which the child was enrolled in your school/center. *

Which words or phrases first come to your mind when thinking of this child? *

Assesssment

Please assesss the child in the following areas. This is a generic teacher recommendation form for applicants of any age. Please select No Basis for Judgment or Not Applicable whenever you deem appropriate. A response is required for each item.

Ability to explain/interpret *

Ability to handle conflict *

Ability to work in a group *

Ability to work independently *

Attendance pattern *

Attention span *

Can be a friend *

Completes tasks *

Consideration for others *

Cooperates in play *

Creativity *

Dependability *

Displays fine motor coordination and skills (cutting, pasting, coloring, tracing) *

Displays gross motor coordination (running, skipping, jumping, throwing) *

Displays self-control *

Eager to explore art media *

Emotional maturity *

Empathy *

Energy *

Enjoys a new challenge *

Enjoys singing, rhythm, movement *

Expresses himself/herself effectively *

Focuses on work *

Follows directions *

Initiative *

Is attentive *

Is comfortable with adults *

Is curious *

Is willing to try new things *

Leadership skills *

Listens in a group *

Math *

Motivation *

Organization of time and work *

Participation in group activities *

Plays alone happily *

Reading/Language Arts *

Reads for pleasure *

Regularity in completing work *

Relationships with peers *

Respect accorded by adults *

Respect accorded by peers *

Responds to redirection *

Responds well to feedback *

Science *

Self-confidence *

Self-regulation *

Sense of humor *

Sense of responsibility *

Shows imagination *

Shows problem-solving abilities *

Social relationships *

Social Studies/History *

Speech & language development *

Study habits *

Transitions well between activities *

Warmth of personality *

Other Comments

More Information

Please type N/A if not applicable.

Is English a second language? *

If yes, please indicate the child’s ability to perform in an academic atmosphere where English is the primary language.

Please describe the child’s reading and writing skills. (For preschool and young elementary applicants, describe the child’s developing skills in this area.) *

Please describe the child’s math skills. (For preschool and young elementary applicants, describe the child’s developing skills in this area.) *

Please describe the child’s choices and activities in a playground and/or social setting. *

Does the child possess any special or unusual competence or talent? If yes, please explain. *

To your knowledge, has this child ever been referred for psychological or educational testing? Please explain. *

Other Comments

Relationship with the Child's Family

Please type N/A if not applicable.

Please comment on parent/guardian cooperation and support for the child’s school experience. *

Does the child's family participate in school events and activities? If yes, are the contributions positive and collaborative? *

Conclusion

Is there anything else about this child and/or his or her family that you would like to share?

Type Name for Educator Signature *

Today's Date *