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Teacher Recommendation Form for Maddux School Applicant

Dear Teacher, Therapist or School Administrator,

A prospective student’s parents have submitted an application for admission to The Maddux School. We are now in the process of determining whether the child might be a good match for our program.

We know that young children change quickly and may present differently in different settings. Your candid comments below will provide us with insights about how the student typically learns, behaves, communicates and interacts with you. Please add any remarks you feel might enable us to understand this child’s profile.

We appreciate your input. Please note that this information is considered confidential and will not be shared. Thank you so much for your time and effort.

Sincerely,

Jennifer Engel, M.S.Ed., Director

Name of Student *

Form Completed by *

Title *

Name of School or Practice *

Contact Email *

Contact Telephone *

Is child currently attending your program or in your care? *

Yes

Description of Program (class size, teacher/student ratio, adult-structured/child directed, etc.) *

Three Words that Best Describe this Child *

Areas of Strength/Unique Interests/Personality Traits *

Areas of Difficulty *

Please describe any supports this child requires beyond the general classroom structure. *

Is there any point in the day when this child needs 1:1 support? If so, please explain. *

Parental Involvement *

SKILL DEVELOPMENT RATINGS

Social Skills/School Behavior

	strength	average	emerging	challenging	N/A
attention in large group activities
attention in small group activities
curiosity
flexibility
frustration tolerance
problem-solving skills
initiating/sustaining play
ability to follow directions
transitioning among activities
ability to share
willingness to attempt new tasks
ability to persevere with tasks
self-confidence/self-esteem
imagination & creativity
general classroom behaviors
general playground behaviors

Communication Skills

	strength	average	emerging	challenging	N/A
vocabulary
social language with peers
language comprehension
language expression

Academics/Pre-Academics

	strength	average	emerging	challenging	N/A
reading/language arts
writing
math

Motor Skill Development

	strength	average	emerging	challenging	N/A
fine motor
handwriting/pre-writing
use of classroom materials
gross motor

Additional Comments

We sincerely appreciate your time and effort. If you have any questions, please feel free to contact us.

The Maddux School

11614 Seven Locks Road

Rockville, MD 20854

(301) 469-0223