Passcode Required

Please ask the applying family for the passcode used on the Application Hub before filling out this assessment.

Northridge Community School

Teacher Assessment

To be completed by the student's current teacher (or Sunday school teacher, if homeschooled). Please be honest and accurate — this assessment will remain confidential.

Applicant's Family Name *

Student Name *

Section One

Your Knowledge of This Student

How long has this student attended your school?

How long have you known this student/family?

How well do you know this student? *

Times Tardy

Excused Absences

Unexcused Absences

Section Two

Strengths & Weaknesses

What are the student's strengths?

What are the student's weaknesses?

Has this student had any disciplinary action taken? If yes, please explain.

Yes No

Are you aware of any academic or social special needs? If yes, please explain.

Yes No

Were any accommodations made for the student, academically or socially? If yes, please explain.

Yes No

Section Three

Rate the Student

1 = Superior 2 = Above Average 3 = Average 4 = Deficient

Quality	1	2	3	4

Explanation / Further Comments

Section Four

About the Parents

Are the parents respectful of school rules and authority? If no, please explain.

Yes No

Do the parents exhibit a willingness to address discipline issues you or other school officials have brought forth? If no, please explain.

Yes No

Section Five

Your Information

Your Name *

Position *

Name of School

May we contact you with additional questions?

Yes No

Contact Number

This assessment will be reviewed confidentially by the admissions committee.

With gratitude,

✓

Assessment Received

Thank you for taking the time to complete this assessment for Northridge Community School's admissions committee.