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AAAIS Confidential Common Principal/Counselor Evaluation (Gr 5-12)

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This form will be submitted to: Woodward Academy for Marquise King and is needed by 02/28/2019 11:59pm (EST). Please contact the school directly if you have any questions regarding this form. Please note: This form may be submitted to additional schools at a later date.

Date of Birth:

2002-10-02

Applying for Grade:	10
Applicant's Current School:	Collin hills high school lawrenceville ga

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.

Principal or Counselor: Your candid appraisal of this child will be of invaluable assistance in giving us a complete and fair evaluation of this applicant. We appreciate your cooperation; your evaluation will be held in strict confidence.

How long has the applicant been enrolled in your school?*

How long and in what capacity have you known this applicant?*

Please comment on the applicant’s attitude toward school.*

What is your candid estimation of the applicant’s personal qualities?*

Has the applicant been recognized for outstanding academic, athletic, or artistic performance?* Yes No

If yes, please explain:

Has the applicant ever been a recipient of a special services program, i.e. gifted, learning disability resource center, etc.? * Yes No

If yes, please explain:

To your knowledge, is the applicant’s record a true indication of his/her ability?* Yes No

If no, please explain:

Have outside circumstances interfered with academic achievement?* Yes No

Please explain if yes.

To your knowledge, has the applicant had a history of serious conduct problems or been expelled or suspended?* Yes No

If yes, please explain:

Will the applicant be permitted to re-enroll in your school?* Yes No

If no, please explain:

Please describe parental support/involvement:*

PERSONAL CHARACTERISTICS & QUALITIES:
Attention span	Highly focused	Attentive	Variable attention	Requires redirection
Attitude toward school	Excellent	Good	Fair	Poor
Citizenship	Excellent	Good	Fair	Poor
Concern for others	Very considerate	Considerate	Occasionally Considerate	Rarely Considerate
Displays appropriate conduct	Excellent conduct	Good conduct	Occasional misconduct	Frequent misconduct
Emotional maturity	Very mature	Age appropriate	Sometimes immature	Very immature
Integrity	Highly trustworthy	Trustworthy	Usually trustworthy	Questionable
Relationships with adults	Very respectful	Respectful	Sometimes respectful	Shows little respect
Relationship with peers	Role model	Healthy Relationships	Occasional problems	Relates poorly
Resilience	Excellent	Good	Fair	Poor
Responsibility	Very responsible	Usually responsible	Sometimes responsible	Rarely responsible
Self-esteem	Excellent	Good	Fair	Poor
Sense of humor	Highly developed	Good	Fair humor	Poorly developed
Spirit of cooperation	Very cooperative	Cooperative	Occasionally cooperative	Rarely cooperative
Warmth of personality	Very friendly	Friendly	Occasionally friendly	Rarely friendly

How does the applicant demonstrate leadership in your community?

Please share any additional information that will be helpful in our decision:

Thank you for your time and evaluation of this applicant. May we contact you if we have questions?

Telephone E-mail


Evaluator's Signature*		Job Title*		Date*

AAAIS Confidential Common Principal/Counselor Evaluation (Gr 5-12)

Atlanta Area Association of Independent Schools (AAAIS)

Confidential Common Principal/Counselor Evaluation FormRising 5th through 12th Grades (entry into school year 2019-20)

Confidential Common Principal/Counselor Evaluation Form
Rising 5th through 12th Grades (entry into school year 2019-20)