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Confidential School Recommendation Grades 1-5
Fath 1, Ave Al Mohit Al Hadi, Almanzeh-Yacoub Al Mansour, Rabat 10052|
Telephone +212 537.758.590 | US Phone +1 202.536.4442| Email : [email protected]
Dear Parents/Guardians: Please complete Part One and submit it to your child’s school so a teacher, counselor, or principal can complete Part Two and endorse it with school stamps. The school should return this form along with copies of your child’s school records directly to the Admissions Office at RAS by email. Part One Full Name of Child: _______________________________________________________________________________________________________________________ Date of Birth (dd/mm/yyyy): _________________________________________________________________________________________________________________ I authorize staff at the school named below to complete this form and release my child’s school records to RAS. I also grant RAS permission to contact this school. Signature of parent/guardian: ________________________________________________________________Date: ___________________________________________ Part Two- To be completed by the school. Please answer all of the questions. Dear Teacher, Principal, Counselor, or Head of School: We appreciate your cooperation in providing us with school records and completing this confidential recommendation form for the above-named child. Please forward school records or transcripts of evaluations and grades. If the child left before the end of term, please include grades/evaluations up to the time of withdrawal. Please include the following student records with this recommendation: • School records/transcript of grades earned for the last two years. • Copies of any standardized test scores, • Any other school records relevant to admissions (any additional educational assessments, evaluations, special program placements, IEP,SEN,EAL/ESL attendance,
disciplinary records, etc.)
Name of School: ______________________________________________________________ School Telephone: ______________________________________________ School Address: ____________________________________________________________________________________________________________________________ City, Post Code, and Country: _________________________________________________________________________________________________________________ The school’s main language(s) of instruction is: ___________________________________________________________________________________________________ Curriculum the school uses (e.g. national, PYP, IPC, Montessori, British, American, other):_________________________________________________________________ What is the grading scale? ________________________________________________________Passing mark: _______________________________________________ Academic year begins and ends when (e.g. September-June, January-December)? ______________________________________________________________________ Name of person completing this form: __________________________________________________________________________________________________________ Position in school/Job title: ___________________________________________________________ E-mail:__________________________________________________ Date child started this school (dd/mm/yyyy): ____________________________Date of withdrawal (dd/mm/yyyy):_______________________________________________ Current grade level of child (or last grade completed if he/she no longer attend your school): ________________________________________________________________ How many years of formal schooling has this child had in total (not including pre-school)? ___________________________________________________________________ How long have you known the child? ____________________________________________________________________________________________________________ How often do you have contact with the child? ¨ Daily ¨ Weekly ¨ Occasionally Has the child been outside the chronological age/grace level guidelines in school? ¨ Yes ¨ No ¨ If yes, please explain why:
________________________________________________________________________________________________________________________________________
Would you re-enrol this child? ¨ Yes ¨ No If no, why not? ________________________________________________________________
Briefly describe the child ___________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________
Confidential School Recommendation Grades 1-5
Fath 1, Ave Al Mohit Al Hadi, Almanzeh-Yacoub Al Mansour, Rabat 10052|
Telephone +212 537.758.590 | US Phone +1 202.536.4442| Email : [email protected]
Please check the box in each area that BEST DESCRIBES this child.
Academic Achievement: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Academic Motivation: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Flexibility with change: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Ability to follow multi-step directions: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Ability to work in a group: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Ability to work independently: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Maturity: ¨ Very mature for age ¨ Age appropriate ¨ Somewhat immature ¨ Very immature
Social adjustment with peers: ¨ Healthy relationships ¨ Occasional minor problems ¨ Frequent minor problems ¨ Relates poorly
Self Confidence: ¨ Appears overly confident ¨ Has healthy self-image ¨ Needs some support ¨ Needs much reassurance
Self-regulation: ¨ Independent ¨ Occasionally needs support ¨ Frequently needs support ¨ Significant support needed
Consideration of others: ¨ Usually thoughtful of others ¨ Mostly thoughtful of others ¨ Rarely thoughtful of others ¨ Selfish
Sense of Humour: ¨ Delightful ¨ Good ¨ Inappropriate ¨ Humorless
Organization: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Attention Span: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Integrity: ¨ Very trustworthy ¨ Usually trustworthy ¨ Occasionally trustworthy ¨ Untrustworthy
Attendance: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Extra involvement after school in: ¨ Art ¨ Band/Choir/Strings ¨ Drama/Dance ¨ Sports ¨ No basis for judgment
Attitude of Parents: ¨ Cooperative ¨ Uninvolved ¨ Overly protective ¨ Antagonistic ¨ No basis for judgment
Rate the child’s academic skill development in the main language used in your school whether that language is English or another language:
Reading level ¨ Beyond age expectations ¨ Appropriate for age ¨ Needs development
Reads for pleasure ¨ Much ¨ Some ¨ Little Speaking ¨ Beyond age expectations ¨ Appropriate for age ¨ Needs development Writing ¨ Beyond age expectations ¨ Appropriate for age ¨ Needs development Math level ¨ Beyond age expectations ¨ Appropriate for age ¨ Needs development
Level of proficiency in English
Is English the child’s first language/mother tongue ¨ Yes ¨ No If no, which language? _____________________________________ Is English the language used at home? ¨ Yes ¨ No In what other language is the child fluent? ___________________________________________________________________________________________
How would you rate this child’s academic English level? Please check the most appropriate.
Listening ¨ Has no difficulty understanding Spoken English.
¨ Can understand the main points of standard speech on familiar topics
¨ Can recognize familiar words and very basic phrases.
Reading ¨ Can read with ease virtually all forms of written material.
¨ Can understand texts that mainly consist of high-frequency everyday language.
¨ Can read very short simple texts.
Writing ¨ Can write, well-structured text in an appropriate style
¨ Can write clear texts on familiar topics or subjects of personal interest.
¨ Can write short simple notes or messages.
Speaking ¨ Can take part in any conversation or discussion.
¨ Can speak on familiar topics of everyday life.
¨ Can read and answer simple questions on familiar topics.
Confidential School Recommendation Grades 1-5
Fath 1, Ave Al Mohit Al Hadi, Almanzeh-Yacoub Al Mansour, Rabat 10052|
Telephone +212 537.758.590 | US Phone +1 202.536.4442| Email : [email protected]
Has the child ever received or been recommended for extra support? Check all that apply:
¨ English as an additional language support ¨ Dyspraxia ¨ Talented/Gifted/Extension ¨ Speech and language therapy ¨ Dyscalculia ¨ Occupational therapy ¨ ADD/ADHD ¨ Reading ¨ Physical therapy ¨ Dyslexia ¨ Emotional/Behavioral ¨ Other:___________________________
Documentation of above enclosed? ¨ Yes ¨ No
Please explain any areas checked above (and include all relevant reports when returning this form): ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ Are there any strategies or interventions that have been used with this child that you recommend we continue?
¨ Yes ¨ No If yes, please explain: ___________________________________________________________________________________
Do you have any reason to suggest that this child be evaluated and/or referred for special educational or psychological services? ¨ Yes ¨ No If yes, please explain: ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ Has the child ever been involved in any serious disciplinary issues (e.g. anti-social behavior, violence, bullying, etc.)?
¨ Yes ¨ No If yes, please explain: ___________________________________________________________________________________________________________
Has the child had any difficult life experience or medical conditions that you feel our school should be aware of?
¨ Yes ¨ No If yes, please explain: __________________________________________________________________________________________________________
Additional comments on the child or explanations related to the information provided: ___________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________ Thank you for your time! Please sign and endorse with your school stamp. Signature ________________________________________________________________ Date______________________________________________________________ School stamp:
Please return this form and school records directly to us by e-mail to [email protected]. All information provided will be treated as confidential by the RAS staff.
