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Athlete Enhancement Program’ Grade 6 Teacher Evaluation Online Form
Athlete Enhancement Program Student Information from Year 6 Teacher
Students Name
*
First
Last
*
Last
Gender
Male
Female
Address
Address
Address
Address
City
City
State/Province
State/Province
Zip/Postal
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
1. Positive self-image; recognises own strengths and weaknesses;
1
2
3
4
5
2. Friendliness and ability to mix
1
2
3
4
5
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
10. Persistent, goal-directed behaviour.
1
2
3
4
5
11. Sensitivity, intuitiveness, empathy for others.
1
2
3
4
5
12. Need for additional emotional or social support, within or outside the classroom.
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
14. Independence in work and study; preference for individualised work;
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
16. Is outstanding at numeracy-based activities.
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):
Submit
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