Teacher Reference Form
This is a confidential evaluation submitted in connection with an application for admission to Maria Montessori Academy. We seek the comments and evaluation of someone who knows this applicant well and may be able to provide insights into their character, personality, and abilities. We appreciate your candid, truthful, and complete responses to the information requested. This evaluation and its contents will only be used in connection with the Maria Montessori Academy admissions process.
Please direct any questions to admissions@mariamontessoriacademy.net
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Email *
Your name & school: *
Student's full name and current grade: *
How long and in what capacity have you known the applicant?
What are the applicant's primary strengths? *
What are the applicant's primary challenges? *
What are the first three words that come to mind when asked to describe this student? *
What are the applicant's favourite subjects/activities at school? *
In what ways has this student contributed to the classroom and/or school community? *
What are your predictions about how this student will respond to a Montessori environment where there is a huge emphasis on intrinsic motivation, independence and the ability to self start? *
Is there anything you would like to add? *
Character Assessment
How would you rate this student in relation to other students the same age?
(Leave blank if you have no basis upon which to assess this characteristic)
Effort
Poor
Excellent
Clear selection
Ability to work independently
Poor
Excellent
Clear selection
Ability to work with others
Poor
Excellent
Clear selection
Organization
Poor
Excellent
Clear selection
Sense of humour
Poor
Excellent
Clear selection
Leadership potential
Poor
Excellent
Clear selection
Self-esteem
Poor
Excellent
Clear selection
Creativity
Poor
Excellent
Clear selection
Emotional Maturity
Poor
Excellent
Clear selection
Attention Span
Poor
Excellent
Clear selection
Social Skills
Poor
Excellent
Clear selection
Participation in Extracurriculars
Not at All
Very Involved
Clear selection
Would you like to add anything in this area?
Academic Assessment
How would you rate this applicant in relation to same aged peers?
(Leave blank if you have no basis upon which to assess this characteristic)
Written English
Poor
Excellent
Clear selection
Mathematics / Numeracy
Poor
Excellent
Clear selection
Academic Potential
Low
High
Clear selection
Intellectual Curiosity
Poor
Excellent
Clear selection
Class Participation
Poor
Excellent
Clear selection
Work Ethic
Poor
Excellent
Clear selection
Attitude Towards Learning
Poor
Excellent
Clear selection
Problem Solving
Poor
Excellent
Clear selection
Critical Thinking Skills
Poor
Excellent
Clear selection
Oral Language
Poor
Excellent
Clear selection
Gross Motor Skills & Coordination
Poor
Excellent
Clear selection
Listening Skills
Poor
Excellent
Clear selection
Fine Motor Skills
Poor
Excellent
Clear selection
Reading & Viewing
Poor
Excellent
Clear selection
Writing & Representing
Poor
Excellent
Clear selection
Academic Integrity
Poor
Excellent
Clear selection
Overall Evaluation as a Student *
Poor
Excellent
Additional Information
Has this student been referred to Learning Assistance / Inclusive Education? *

Has this child been referred to a health care specialist for any problems relating to their learning? 

 *
Has this applicant been referred for a psychological educational assessment? *
Does this student have an IEP? *

Thank you for the time and effort spent on this reference. We appreciate your thorough evaluation of the applicant. Please provide the information requested below.

Date *
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Can we please contact you for further information? If yes, please leave your phone number here: *
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