STUDENT EVALUATION FORM

Students Name: _______________________ Current Grade/Class: ____________

Please assess this student on the following characteristics:
Key: 5=excellent, 4=very good, 3=average, 2=below average, 1=poor
Characteristics: 5 4 3 2 1 N/A
As an inquirer

Ability to learn

Study Habits

Creativity

Self-motivation

Responsibility

Knowledge of community

Leadership

Attention span

Self-confidence

Sense of humor

Consideration for others

Relationship with adults

Ability to follow directions

Ability to work with others

Homework

ADDITIONAL QUESTIONS:
Has disciplinary action ever been taken against the student? yes no
Does the student have behavioral or personality problems? yes no
Does this child have any special needs? yes no
Has the child had any significant attendance problems? yes no
If yes to any of these questions, please explain in the space below.


COMMENTS: Please share any other qualities or characteristics about the student that may be relevant.


Teachers Name: ____________________________________ Date: _____________________