Kent  Academy  1814  Euclid  Ave.,  Charlotte,  NC  28203  

 704-­‐996-­‐8283  kentacademycharlotte.com    

LETTER  OF  RECOMMENDATION  from  EDUCATIONAL  INSTITUTIONThe  completion  of  this  report  is  part  of  the  Kent  Academy  admissions  process.  We  would  appreciate  your  candid  appraisal  of  the  applicant,  which  will  assist  us  in  evaluating  our  ability  to  provide  an  appropriate  program.  This  form  will  not  become  a  part  of  any  permanent  record  and  will  be  kept  in  strict  confidence.    

Student’s  Name:  _____________________________________________Current  Grade:_____  Date:_________________  

Your  Name  (Please  Print):  _____________________________________________Phone:__________________________  

Name  of  your  School:_________________________________________________________________________________  

Email  address:  ______________________________________________________________________________________  

School  address:  __________________________________________  City:___________________  State:____  Zip:_______  

School  Phone  Number:  ____________________________                      Subjects  Taught:  ________________________________  

1. How  long  have  you  known  the  Applicant?____________________  In  what  capacity?    ___________________________

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2. Do  you  believe  this  student  is  achieving  at  a  level  commensurate  with  his/her  intellectual  potential?    ______________

Please  comment:  ____________________________________________________________________________________

__________________________________________________________________________________________________

3. How  does  the  student  respond  to  guidance,  corrections,  or  suggestions?  _____________________________________

__________________________________________________________________________________________________

4. Have  there  been  any  violations  of  school  and  classroom  rules?  If  yes,  please  explain.  Include  any  suspensions  or

expulsions.  _________________________________________________________________________________________

__________________________________________________________________________________________________

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5. Please  describe  the  student’s  social  relationship  with  other  children.  ________________________________________

__________________________________________________________________________________________________

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6. Please  comment  on  the  student’s  willingness  &  ability  to  work:Independently:  _______________________________________________________________________________  

   ___________________________________________________________________________________________  

In  a  small  group:  ______________________________________________________________________________  

   ___________________________________________________________________________________________  

7. How  would  you  describe:

The  child’s  relationship  with  his/her  parents?  ______________________________________________________  

   ___________________________________________________________________________________________  

The  parents’  relationship  with  you?    ______________________________________________________________  

   ___________________________________________________________________________________________  

8. What  words  or  phrases  come  to  mind  when  describing  the  applicant?

Strengths:  ___________________________________________________________________________________    

   ___________________________________________________________________________________________  

Weaknesses:      ________________________________________________________________________________  

____________________________________________________________________________________________  

9. Would  the  applicant  be  permitted  to  re-­‐enroll  in  your  school?  Please  Comment:  _______________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

10. Other  comments  (if  necessary,  please  use  an  additional  sheet.):  ___________________________________________

__________________________________________________________________________________________________

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11. Please  fill  out  the  chart  below  as  accurately  as  possible:

Student   Always   Usually   Sometimes   Rarely   Never  Expresses  him/herself  well  Follows  oral  directions  Stays  on  task  Exhibits  self-­‐control  Respects  peers  Respects  adults  Is  experiencing  stress  Is  a  positive  role  model  for  others  Participates  in  class  activities  Is  organized  Is  cooperative  Easily  transitions  between  activities  

Please  feel  free  to  attach  any  information  or  thoughts  to  this  application.  If  you  need  to  speak  to  the  director  of  Kent  Academy,  please  feel  free  to  call  the  school  or  email  through  our  website.    

Signature:________________________________________________________  Date:  ___________________________  

Please  return  this  form  directly  to:  Kent  Academy,  c/o  Jane  G.  Robinson,  PhD,  1814  Euclid  Ave.  Charlotte,  NC  28203  or email directly to Jane Robinson at kentacademy@aol.com.