K-6 2023- 2024 School Year Prior School Reference Form, for CCAA

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CCAA Teacher Rubric

Email *

Creative Connections Arts Academy

K-6 Campus - 7201 Arutas Dr., North Highlands CA 95660
PHONE (916) 566-1870; FAX (916) 566-1871 Attention: Jenny Koons
Email: jenny.koons@twinriversusd.org
7-12 Campus - 6444 Walerga Rd, North Highlands CA 95660
PHONE (916) 566-3470; FAX (916) 566-3505 Attention: Wendy Hatt
Email: wendy.hatt@twinriversusd.org

Teacher:

Thank you for completing this short informational form on behalf of this student who is applying to Creative Connections Arts Academy. This information will give us a broader picture of the student and assist us in preparing for the coming school year. Once you complete the information and click the submit button, it will send directly to the CCAA office staff.

I am completing this form on behalf of *

Referring Teacher: *

Current Grade Level: *

Current School: *

Phone:

School District: *

School Address/District

How long has this student been in your class? *

Favorable - Not Favorable *

The higher the number the more favorable

Gets along with peers

Attends class regularly and puntually

Demonstrates positive citizenship

Completes academic assignments

Works independently

Works to his/her fullest potential

Yes or No *

Yes

Meeting Grade Level Standards in READING?

Meeting Grade Level Standards in MATH?

Has the applicant ever been expelled from school?

Special Talents:

Additional Comments:

Teacher Signature: (Required) *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Twin Rivers Unified School District. Report Abuse

Forms