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Athlete Enhancement Program’ Grade 6 Teacher Evaluation Online Form
Athlete Enhancement Program Student Information from Year 6 Teacher
Students Name
*
First
Last
*
Last
Gender
Male
Female
Address
Address
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Primary School
*
Teacher's Name
*
How long have you known this child for?
*
[In some cases, it may be appropriate for the Year 5 teacher to complete the Teacher Identification Form in conjunction with the applicant’s current teacher – This will be a decision to be made by the Primary School teacher]
Please provide a contact email address:
*
SECTION A
Characteristics:
Please rate according to the following scale, as best you can. All information is confidential.
1 Very Low
2 Low
3 Medium
4 High
5 Very High
1. Positive self-image; recognises own strengths and weaknesses;
1
2
3
4
5
2. Friendliness and ability to mix
1
2
3
4
5
3. A leader, accepts responsibilities; adapts readily to new situations; tends to avoid bickering;
1
2
3
4
5
4. Good manual dexterity; is well co-ordinated; enjoys athletic activities; active in team games.
1
2
3
4
5
5. Needs additional emotional or social support, within or outside the classroom.
1
2
3
4
5
6. Works well in a team
1
2
3
4
5
7. Behaves well in class
1
2
3
4
5
SECTION B
Do you think this student will benefit from the Sport Enrichment Program? Why?
Position/s of responsibility held within the classroom or the school:
Add
Remove
Participation in Sports within the school:
ADDITIONAL COMMENTS (Confidential):
Submit
Send a Message
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Email
Message
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