* Required

Please complete and submit this form by February 1.

The French American International School (FAIS) is a full French immersion early childhood educational program. Your honest, thoughtful assessment of the child is greatly appreciated by the Office of Admissions. This recommendation is confidential and will be viewed exclusively by FAIS staff and faculty; it will not become part of the student’s permanent academic record.

Thank you for completing this form. Our Admissions Committee may contact you for additional information about this student.

Teacher Information

Teacher First Name*required

Teacher Last Name*required

School Email Address*required

Phone Number

School Name

School City

School State

Student Information

Student First Name*required

Student Last Name*required

For School Year:

For Grade:

Compared to other students you have taught at this grade level, how would you rate this student in terms of:

Skill Development

Attention span

Exceptional Age appropriate Needs growth No basis for judgment

Ability to focus on individual tasks

Exceptional Age appropriate Needs growth No basis for judgment

Ability to follow directions

Exceptional Age appropriate Needs growth No basis for judgment

Comments on above areas:

Physical Development

Fine motor skills

Exceptional Age appropriate Needs growth No basis for judgment

Gross motor skills

Exceptional Age appropriate Needs growth No basis for judgment

Speech development / articulation

Exceptional Age appropriate Needs growth No basis for judgment

Comments on above areas:

Social / Emotional

Ability to control impulses

Exceptional Age appropriate Needs growth No basis for judgment

Maturity for age

Exceptional Age appropriate Needs growth No basis for judgment

Ability to separate from parent

Exceptional Age appropriate Needs growth No basis for judgment

Comments on above areas:

Parent Participation

Parent involvement

Exceptional Good Poor None

Parent cooperation

Exceptional Good Poor None

Do you regularly have contact with one or both parents?

Mother Father Caretaker Other

Please indicate:

How often does the child currently go to the bathroom unassisted?

Rarely Sometimes Often Usually Always

Comments:

How often does the child wash his or her hands without assistance?

Rarely Sometimes Often Usually Always

Comments:

Please describe the educational setting in which you know this child, including class size and daily activities.

How long has this child been at your facility?

How many days per week or hours per day does the child attend?

What are some of the child’s strengths in relation to other children of his or her age?

What are some of the child’s challenges: behavioral, social and/or cognitive? Please elaborate.

FAIS admits qualified students of any race, color, creed, gender, sexual orientation, gender expression or identity, nationality, ethnic origin or other legally protected status to all the rights, privileges, programs and activities made available to students at the School. FAIS also admits qualified students with disabilities that are unrelated to the ability of the student to enjoy the benefits of the School’s educational program, and that FAIS can reasonably accommodate.

Acknowledgement*

I acknowledge that I have answered the above questions truthfully and to the best of my ability.

Name*required

Date*required (mm/dd/yyyy)

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