K-12 APPLICATION FOR ADMISSION / 2012-2013 - Chadwick School
K-12 APPLICATION FOR ADMISSION / 2012-2013 - Chadwick School
K-12 APPLICATION FOR ADMISSION / 2012-2013 - Chadwick School
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TEACHER REFERENCE <strong>FOR</strong> KINDERGARTEN,CONTINUEDCHILD AS A LEARNER CONTINUED SECURE AGE-APPROPRIATE EMERGING NOT YET EVIDENTDemonstrates creativity and inventivenessExhibits problem-solving skillsKeeps trying when something is difficultTakes initiativeEnjoys a new challengeUses materials purposefully and respectfullyFollows multi-step directionsApplies past learning to new situationsSpeech development (articulation)Speech development (language and vocabulary)0000000000000000000000000000000000000000Dominant handedness? 0 left 0 rightComments on the above__________________________________________________________________________________________________________________________________________________________________________________________________________PHYSICAL DEVELOPMENT STRONG AGE-APPROPRIATE NEEDS DEVELOPMENTSmall-muscle control/coordination000Large-muscle control/coordination000Comments on the above. Please identify special needs, including auditory and visual development._________________________________________________________________________________________________________________What are the first three words that come to mind when describing this child?1)______________________________________2)____________________________________3)__________________________________Please describe this child’s general mood and temperament._______________________________________________________________________________________________________________________________________________________________________Please describe anything unusual or exceptional about this child.___________________________________________________________________________________________________________________________________________________________________Please comment on parent cooperation and involvement with your school._________________________________________________________________________________________________________________________________________________________Please share any additional comments that you think might be helpful as we get to know this child._____________________________________________________________________________________________________________I have known this child for___________ years___________ months.We welcome any other information that you think would be helpful. Please include comments regarding strengths, weaknesses, health orany special needs or concerns of this child and/or family. You may use a separate sheet of paper for further comments in any category.Evaluator’s name________________________________________________________________________________________________TitleDate of evaluation______________________________________________________________________________________________________________Days per week enrolled Hours per day Size of group Age range<strong>School</strong>____________________________________________________________________________________________________________Phone number Extension Fax<strong>School</strong> address _______________________________________________________________Date________________________________Please send this form directly to <strong>Chadwick</strong> <strong>School</strong> by January 17, 20<strong>12</strong>.<strong>Chadwick</strong> <strong>School</strong> OFFICE OF <strong>ADMISSION</strong> • 26800 South Academy Drive • Palos Verdes Peninsula, CA 90274-3997CHADWICK SCHOOL 14
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