Form D1 - The Anglo-American School of Sofia

T h e A n g l o A m e r i c a n S c h o o l o f S o f i aPreK-Gr. 1 Confidential Student Reference Form: D1Note to the parents/guardians: Please request that the Applicant's current teacher completes this form.Teachers must return this form directly to admissions@aas-sofia.org or by fax to +359 (2) 923 8859.Note to teacher(s): Information from teachers is extremely helpful in determining appropriate placementand educational resources for a student. Based on your professional opinion, your candid and thoughtfulevaluation will be valued as we get to know this student. If a question is not relevant to this child, pleasemark N/A. Please be assured that your response will remain completely confidential.If this child is not currently in Pre-school, parents may complete to the best of their ability.Student's NameCurrent GradePresent School nameLanguage/s ofInstructionCity & CountrySchool websiteSchool TelephoneSchool's EmailSchool FaxName of teacher submitting evaluationPositionLength of time acquainted with studentStudent AbilitiesIf in an English-speaking school, what is the student's level of English proficiency?ListeningBeginner Intermediate Advanced NativeFluentSpeakingBeginner Intermediate Advanced FluentNativeWhat is the student's dominant playground language?What would youdescribe as thechild's greateststrengths?Are there anyactivities thatappear difficult forthis child? Whatareas needimprovement?Is this child ready for a full-day program?YesNoHas this student been assessed for potential learning difficulties and services? Is he/she receivinglearning support? If "Yes", please attach an explanation on a separate sheet.YesNoIf "No", would you recommend that AAS assess this student?YesNoP.O. Box 31, Sofia 1784, Bulgaria Telephone: +359 (2)923-8810 Fax: + 359 (2) 923 8859 admissions@aas-sofia.org www.aas-sofia.orgPage 1 of 2

AAS SofiaPreK -Gr.1 Confidential Student Reference Form: D1For academic areas in the development assessment below, please indicate the language that you have observedthis child's skill development in:EnglishOther:CATEGORIES:PHYSICAL DEVELOPMENTPlease mark with a capital "X"Area ofStrengthAgeAppropriateProgressingArea ofConcernNotApplicableGait, fluidity, smoothness of movementDraws with detailsUses appropriate pencil gripWorks with manipulativesACADEMIC SKILL DEVELOPMENTReceptive Language SkillFollows multiple step directionsUnderstands stories read aloudUnderstands classroom discussionMemory for events and informationExpressive Language SkillsFluency of expressionVocabularyAbility to stay on discussion topicUses age-appropriate grammarTells story events in sequenceReadingCan distinguish between numbers and lettersSound-symbol correspondenceRecognizes letters - upper caseRecognizes letters - lower caseRecognizes rhyming wordsCan read in mother tongueMathematicsRecognizes shapesRecognizes numeralsUnderstands one-to-one correspondenceUnderstands patterning / categorizingUnderstands comparative terms (size / time)SOCIAL / EMOTIONAL DEVELOPMENTSelf-motivationRespects classroom routinesAre there any special concernsabout the child's attendance orpromptness in arrival or departure?Are there any additionalcomments you feel are importantregarding this child?Is there any additional information that can be better conveyed in a telephone conversation? Yes NoIf we need further information, may we contact you?YesNoSignatureEmailTelephoneCurrent Date dd/mm/yyPlease submit this form by email to admissions@aas-sofia.orgor print and return in a sealed envelope to parents.P.O. Box 31, Sofia 1784, Bulgaria Telephone: +359 (2)923-8810 Fax: + 359 (2) 923- 88 59 admissions@aas-sofia.org www.aas-sofia.orgPage 2 of 2