Grade 2 - 6 Recommendation Form 2014-15 - Potomac School
Grade 2 - 6 Recommendation Form 2014-15 - Potomac School
Grade 2 - 6 Recommendation Form 2014-15 - Potomac School
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Eleven traits are listed in the left hand column. Check the category on the right which best describes the<br />
candidate. Adjust the placement of the check mark to left or right within a given section to indicate<br />
gradations - left side being high in the category - right side being toward the next category.<br />
Conduct<br />
Consideration for others<br />
Social relationship with<br />
peers<br />
Usually good<br />
conduct<br />
Unusually<br />
considerate<br />
Very healthy<br />
relationships<br />
Occasional good<br />
conduct<br />
Usually<br />
considerate<br />
Healthy<br />
relationships<br />
Misconduct<br />
Inconsiderate<br />
Occasional minor<br />
problems<br />
Frequent<br />
disruptions<br />
Unkind<br />
Relates poorly<br />
Leadership ability Excellent Good Average Poor<br />
Emotional maturity Very mature Average<br />
Self-confidence<br />
Healthy selfimage<br />
Needs some<br />
support<br />
Sense of humor Highly developed Well developed<br />
Integrity Very trustworthy Trustworthy<br />
Sense of responsibility<br />
Responsible<br />
Usually<br />
responsible<br />
Somewhat<br />
immature<br />
Needs much<br />
support<br />
Average<br />
development<br />
Usually<br />
trustworthy<br />
Sometimes<br />
responsible<br />
Very immature<br />
Poor self-image<br />
Poorly developed<br />
Untrustworthy<br />
Rarely<br />
responsible<br />
Relationship with adults Very comfortable Comfortable Is dependent on Avoids contact<br />
Participation in<br />
extracurricular activities<br />
Comments<br />
Enthusiastic<br />
participation<br />
Frequent<br />
participation<br />
Occasional<br />
participation<br />
Rarely<br />
participates<br />
____________________________________<br />
Signature<br />
____________________________________<br />
<strong>School</strong><br />
____________________________________<br />
Please print or type name<br />
____________________________________<br />
<strong>School</strong> phone number<br />
Please return this form directly to:<br />
The Admission Office, The <strong>Potomac</strong> <strong>School</strong><br />
1301 <strong>Potomac</strong> <strong>School</strong> Road<br />
McLean, Virginia 22101<br />
(703) 749-6313
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