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Confidential Recommendation (Grades 1–5) To the writer: Please complete both pages of this form. If you do not know the applicant well enough to complete this recommendation, please return it to the applicant’s parents.
Parent Section My/our child, named below, has applied for admission to The American School in Japan. We would appreciate your assistance in completing this confidential recommendation. We give our express permission for you to provide the information requested, and I/we waive any right to read the completed document.
Applying to Grade
Teacher Section Name of person completing form
School name Location (City, State, Country) How long and in what capacity have you known the applicant? Please evaluate the candidate in relation to his or her fellow students as follows: No opportunity Poor Below Average Average Good to observe
Excellent (top 10%)
Truly Outstanding (top 2-3%)
Academic potential Academic achievement Intellectual curiosity Follows directions Completes tasks Organizational skills Ability to work independently Ability to communicate ideas Critical thinking skills Class participation Math performance (circle) Below grade level On grade level Above grade level Reading performance (circle) Below grade level On grade level Above grade level Writing performance (circle) Below grade level On grade level Above grade level
For Grade One Applicants Only: Language development (circle) Delayed Age appropriate Advanced Reading Readiness (circle) Delayed Age appropriate Advanced Overall assessment Personal qualities Accepts/responds to teacher directions Adaptability/flexibility Self-confidence Attentive/focused Consideration of others Self-control Ability to act independently Willingness to particpate in group Relationship with peers Relationship with adults Overall assessment
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Confidential Recommendation (Grades 1–5) Please answer the questions below. Use a separate sheet if necessary.
1. What words come to mind to describe the applicant’s major strengths and weaknesses? 2. What special talents or abilities does the applicant possess? 3. What behavioral difficulty, if any, has the applicant demonstrated either at school or elsewhere? 4. To your knowledge, is the parent’s perception of their child compatible with the school’s understanding of the child? Please comment. 5. What support services, if any, has the applicant received? Check if previously or presently participating in any programs or services listed below: o ELL/ESL (Eng. as a second lang.) o Gifted/Talented
o IEP (Individualized Education Plan)
o 504 Plan (USA)
o Remedial/Learning Support
o Speech/Language Therapy
o Occupational Therapy
o Use of Special Resource Centers
o Behavioral Management
o Individual/Family Counseling
Describe any of the programs checked above (attach a separate sheet if necessary). Also, please indicate if any comprehensive educational assessments have ever been conducted such as a psycho-educational evaluation. If so, give the date and describe the type of assessment.
6. In what ways have the applicant’s parents been cooperative and supportive in working with teachers, counselors and administrators? Please elaborate.
Email Address(es) o In the event that a parent requests this recommendation be shared with other international schools in Tokyo, I give permission to ASIJ to forward it directly to the schools specified by the parents. The recommendation will remain confidential and will not be shared with the family. Please check if you agree. ASIJ very much appreciates your time and expertise in completing this recommendation. Please mail, email or fax this form directly to The American School in Japan at the address below, or give it to the applicant’s parent in a sealed envelope to be delivered with other application documents. Thank you.
The American School In Japan Admissions Office 1-1-1 Nomizu, Chofu-shi, Tokyo, 182-0031 Japan FAX: +81-422-34-5339 EMAIL: [email protected]