‘Athlete Enhancement Program’ Grade 6 Teacher Evaluation Online Form

Students Name *

First

Last *

Last

Gender

Male

Female

Address

City

State/Province

Zip/Postal

Primary School *

Teacher's Name *

How long have you known this child for? *

[In some cases, it may be appropriate for the Year 5 teacher to complete the Teacher Identification Form in conjunction with the applicant’s current teacher – This will be a decision to be made by the Primary School teacher]

Please provide a contact email address: *

SECTION A

Characteristics: Please rate according to the following scale, as best you can. All information is confidential.

1 Very Low
2 Low
3 Medium
4 High
5 Very High

3. A leader, accepts responsibilities; adapts readily to new situations; tends to avoid bickering;

1

2

3

4

5

4. Good manual dexterity; is well co-ordinated; enjoys athletic activities; active in team games.

1

2

3

4

5

5. Verbal proficiency, large and usually advanced vocabulary facility in reading, breadth of information in advanced areas; does not avoid difficult material

1

2

3

4

5

6. Liking for structure and order; likes to organise and bring structure to people, things and situations.

1

2

3

4

5

7. Retentive memory, learns easily and readily; very alert; gives rapid answers; quick recall of information

1

2

3

4

5

8. Questioning attitude, intellectual curiosity; inquisitive mind, intrinsic motivation, venturesome, anxious to do new things.

1

2

3

4

5

9. Power of concentration; intense attention that excludes all else; long attention span; can resist interruption.

1

2

3

4

5

13. High energy and involvement in numerous activities; alertness, eagerness; periods of intense voluntary effort; frustration with inactivity and absence of progress.

1

2

3

4

5

15. Adapts readily to new situations; is flexible in thought and activities and is not disturbed when normal routine is changed.

1

2

3

4

5

17. Avid reader; likes science fiction; selects books at a reading age far above chronological age level.

1

2

3

4

5

18. Clearly recognises personal and group values; recognises possibility of value conflict; questions status quo; prepared to take some social risks.

1

2

3

4

5

SECTION B

Do you think this student will benefit from the Athlete Enhancement Program? Why?

Club/Team Memberships:

Add Remove

Position/s of responsibility held within the classroom or the school:

Add Remove

Participation in Sports within the school:

ADDITIONAL COMMENTS (Confidential):