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St. Mary Magdalene Catholic School
Confidential Assessment for Grades 1 through 8
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Email
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Your email
Applicant's Name
*
Your answer
Applicant's Current Grade
*
Your answer
Applicant's Current School
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Your answer
Phone Number of Applicant's Current School
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Your answer
Dates Applicant Attended Current School
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Your answer
Current Teacher's Name
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Your answer
What is your role in relation to the student?
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Your answer
How was the student's attendance record?
*
excellent
satisfactory
unsatisfactory
Please rate the applicant's Citizenship.
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Excellent
Good
Fair
Attitude
Maturity
Cooperation
Respect for Authority
Conduct
Peer Interaction
Excellent
Good
Fair
Attitude
Maturity
Cooperation
Respect for Authority
Conduct
Peer Interaction
Please rate the applicant's Academic Ability.
*
Excellent
Good
Fair
Reading
Writing
Verbal
Mathematics
Potential
Excellent
Good
Fair
Reading
Writing
Verbal
Mathematics
Potential
Please rate the applicant's Work Skills.
*
Excellent
Good
Fair
Motivation
Independent Work
Assignment Completion
Excellent
Good
Fair
Motivation
Independent Work
Assignment Completion
Do you recommend this applicant for promotion to the next grade?
*
yes
no
Please provide any comments that would help us evaluate this applicant.
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Your answer
My name printed below states that I verify I am the person who filled out this form and the information is accurate to the best of my knowledge.
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