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TK/KINDERGARTEN EVALUATION FORM
CONFIDENTIAL: Evaluation form for transitional kindergarten and kindergarten applications.
To be completed by applicant’s current school personnel.
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* Indicates required question
Student Name
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Your answer
Pre-School/Day Care
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Your answer
Social and Emotional Development
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Mature
Age Appropriate
Needs Development
Immature
Listens
Cooperates
Relates to peers
Relates to adults
Exhibits self-confidence
Adjusts to transitions
Tolerates frustration
Separates from parents
Shares materials and possessions
Asks for help when needed
Respectful to adults
Follows classroom rules
Mature
Age Appropriate
Needs Development
Immature
Listens
Cooperates
Relates to peers
Relates to adults
Exhibits self-confidence
Adjusts to transitions
Tolerates frustration
Separates from parents
Shares materials and possessions
Asks for help when needed
Respectful to adults
Follows classroom rules
Does the child exhibit aggressive /physical behavior toward others?
*
Yes
No
If “Yes” or “Occasionally” please explain:
Your answer
How would you describe this child?
*
Your answer
Cognitive Development
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Mature
Age Appropriate
Needs Development
Immature
Expresses ideas orally
Articulates clearly
Sustains attention in small groups
Sustains attention in large groups
Demonstrates an interest in learning
Follows directions
Mature
Age Appropriate
Needs Development
Immature
Expresses ideas orally
Articulates clearly
Sustains attention in small groups
Sustains attention in large groups
Demonstrates an interest in learning
Follows directions
Family Information
*
Outstanding
Good
Satisfactory
Unsatisfactory
Open communication with school
Participation in school activities
Cooperation with teachers
Cooperation with administration
Follows with administration
Outstanding
Good
Satisfactory
Unsatisfactory
Open communication with school
Participation in school activities
Cooperation with teachers
Cooperation with administration
Follows with administration
Additional Comments
Your answer
How many days a week does the child attend your program? How many hours a day?
*
Your answer
How long have you known this child?
*
Your answer
Thank you for sharing your insights regarding this student. Please be assured that your comments will be held in strictest confidence. Your observations will help us make the child’s next school placement an appropriate one for both the student and the family.
Name
*
Your answer
Title or position
*
Your answer
Contact Email
*
Your answer
Phone
*
Your answer
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