FORM ONE
Applicant’s Name (First Last): ___________________________________________
ENGLISH/LANGUAGE ARTS TEACHER (Required)
MATH TEACHER (Required)
OTHER – (Optional)
Atlanta Area Association of Independent Schools (AAAIS)
Confidential Common Teacher Evaluation Form
Rising 5th through 12th Grades
Parent/Legal Guardian: Please fill out this section and deliver this form to your child’s teacher. Include an addressed and stamped
envelope to the school(s) where you wish this evaluation to be sent. The evaluator will mail these forms directly to the Admissions Office.
Applicant’s Name:
Preferred Name:
(First)
Male
Female
(Middle)
(Last)
Date of Birth:
Entry Year:
Applying for Grade:
Applicant’s Current School:
Address of Current School:
Telephone:
(City)
(State)
(Zip)
To Parent/Legal Guardian: By submitting this evaluation form and in consideration of having this evaluation and your application considered by the member of the Atlanta
Area Association of Independent Schools (AAAIS), you hereby release said member, its employees and representatives, the evaluator and the evaluator’s employer from
any and all claims and liability that may arise from the providing, obtaining or using the form and the substance of the information provided by the evaluator. All
information provided on the attached evaluation form will be held in strictest confidence and will not be shared with students, parents, or guardians. This will remain
confidential and not become part of the student’s permanent academic record.
Signature of Parent or Legal Guardian
Date
How long and in what capacity have you known this applicant?
Please give explanations to any of the following categories or questions in the “Comments” section located on the reverse side of this form:
ENGLISH/LANGUAGE ARTS:
Reading Comprehension
Written Expression: Composition
Written Expression: Grammar
EXCELLENT



ABOVE
AVERAGE



AVERAGE



BELOW
AVERAGE



NO BASIS FOR
JUDGMENT



EXCELLENT



ABOVE
AVERAGE



AVERAGE



BELOW
AVERAGE



NO BASIS FOR
JUDGMENT



EXCELLENT









GOOD









FAIR









POOR/
LIMITED









NO BASIS FOR
JUDGMENT









Names of textbooks and publishers:
MATH:
Ability to grasp new concepts
Analytical ability
Knowledge of basic skills
Math textbooks and publishers:
ACADEMIC SKILLS:
Academic Potential
Creativity
Critical/Abstract Thinking Skills
Determination
Intellectual Curiosity
Motivation
Oral Expression
Organizational Skills
Study Skills
Confidential Common Teacher Evaluation Page 1 of 2
Atlanta Area Association of Independent Schools (AAAIS) Copyright © 2015 All Rights Reserved
WORK SKILLS:
Ability to work in a group
Ability to work independently
Attention span
Class participation
Completes assignments on time
Fine motor skills
Follows directions
Takes initiative
Consistently works well
Consistently works well
Actively engaged
Joins in readily
Consistently
Excellent
Easily and accurately
Consistently
SOCIAL SKILLS & PERSONAL QUALITIES:
Excellent
Attitude toward school
Excellent
Citizenship
Very considerate
Concern for others
Displays appropriate conduct
Good conduct
Very mature
Emotional maturity
Highly trustworthy
Integrity
Leader
Leadership potential
Role model
Peer relations
Reaction to criticism/setbacks Excellent
Courteous
Relationships with adults
Very responsible
Responsibility
Healthy self-image
Self-confidence
Excellent
Self-control
Highly developed
Sense of humor
Consistently cooperates
Spirit of cooperation
Consistently friendly
Warmth of personality
Occasionally has trouble
Needs help occasionally
Attentive
Contributes occasionally
Usually
Good
Usually
Usually
Good
Good
Usually considerate
Usually good conduct
Age appropriate
Usually trustworthy
Can follow or lead
Healthy relationships
Good
Usually positive
Usually responsible
Needs some support
Good
Good
Usually cooperates
Usually friendly
Has the applicant ever been a recipient of a special services program?
Gifted
Modified curriculum
IEP, 504, etc.
Learning disability resource center
If yes, please explain:
Usually has difficulty
Needs help frequently
Variable attention
Wants to dominate
Needs additional time
Fair
Needs much explanation
Sometimes
Has great difficulty
Needs constant help
Requires frequent redirection
Rarely contributes
Has difficulty
Poor
Rarely
Rarely
Fair
Fair
Occasionally Considerate
Occasional misconduct
Sometimes immature
Occasionally trustworthy
Leads on occasion
Occasional problems
Fair
Occasional problems
Sometimes responsible
Seems over-confident
Fair
Fair humor
Occasionally cooperates
Occasionally friendly
Poor
Poor
Rarely Considerate
Poor conduct
Very immature
Questionable
Rarely leads
Relates poorly
Poor
Shows little respect
Rarely responsible
Poor self-image
Poor
Poorly developed
Rarely cooperates
Rarely friendly
Preferential seating
Extra help or tutoring
Extended time
N/A
Assistive technology
Do you have any reason to question the applicant’s academic or personal integrity?
If yes, please explain.
Yes No
Areas in which the applicant has the greatest strengths:
Areas in which the applicant has the greatest needs:
Describe the ways the applicant contributes to your school community: (character, citizenship, leadership)
Please describe parental support/involvement:
Additional comments:
Thank you for your time and evaluation of this applicant. May we contact you if we have questions? Telephone: ____________________________
Evaluator’s Signature (please sign and print)
Confidential Common Teacher Evaluation Page 2 of 2
Evaluator’s Title
Date
Atlanta Area Association of Independent Schools (AAAIS) Copyright © 2015 All Rights Reserved