RETURNING STUDENT TEACHER EVALUATION FORM TEACHER EVALUATION FOR RETURNING HORIZONS GFA STUDENTS Horizons Greens Farms Academy (HGFA) is a summer and school-year academic program that partners with Bridgeport students and families to build academic skills, social and emotional competence, confidence and motivation so students are prepared and motivated to complete their education. The PreK-8 program is held for six weeks each summer on the GFA campus and is designed to eliminate summer slide and help them fill learning gaps and get ready to take on the challenges of a new school year. The child you have been asked to complete this form for is a returning (previously enrolled) Horizons GFA student. As their school year teacher, your evaluation of this student will provide great assistance insight into his/her needs, particularly after the last year. Please answer the questions in a way as to give us as much information as possible about the student. If you have questions, please contact Monique Rutledge at firstname.lastname@example.org. You can also learn more about Horizons GFA by visiting our website, www.HorizonsatGFA.org. The act of the parent supplying you with the link to this form serves as permission and authorization for you to share with us all the information requested about this student. The deadline for submitting this form is May 15, 2021. We greatly appreciate your cooperation!Teacher Name* First Last School*Teacher PhoneTeacher Email* Student Name* First Last 2020-2021 Grade*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradePLEASE RATE THIS STUDENT IN THE FOLLOWING ACADEMIC AREAS.Reading* Above Grade Level On Grade Level Below Grade Level Math* Above Grade Level On Grade Level Below Grade Level Writing* Above Grade Level On Grade Level Below Grade Level Does this student have learning difficulties?* Yes No Possibly Please provide additional information below regarding this student's learning difficulties, if any.Does this student receive ESL services?* Yes No Is this student being recommended for summer school?* Yes No Possibly Is this student a candidate for retention?* Yes No Possibly Please provide any additional information about this student that you think would allow us to better serve his/her needs in general or specifically related to pandemic learning issues..PLEASE RATE THIS STUDENT IN THE FOLLOWING CATEGORIES.Focuses on tasks until done* All of the time Most of the time Some of the time None of the time Unsure Keeps working on activities even if difficult* All of the time Most of the time Some of the time None of the time Unsure Waits for what he/she wants* All of the time Most of the time Some of the time None of the time Unsure Works well with peers* All of the time Most of the time Some of the time None of the time Unsure Resolves problems with peers without becoming aggressive* All of the time Most of the time Some of the time None of the time Unsure Resolves problems with peers on his/her own* All of the time Most of the time Some of the time None of the time Unsure Thoughtful of feelings of others* All of the time Most of the time Some of the time None of the time Unsure PLEASE PROVIDE THE FOLLOWING INFORMATION FOR THIS STUDENT AS APPLICABLE.Name of Reading Assessment (e.g. DRA, F&P, Lexile, etc.)Date of AssessmentMost current student reading assessment levelSBAC Level: ELASBAC Level: MathSRBI Interventions: Academic Tier I Tier II Tier III SRBI Interventions: Behavioral Tier I Tier II Tier III MAY WE CONTACT YOU? While not frequent, under certain circumstances it can be extremely helpful for Horizons teachers to obtain additional insights on students. Please indicate below if you are willing to discuss this student over the summer.* l will be available to discuss this student. l will not be available to discuss this student. Best method to contact me: Teacher Email (listed at top of form) Teacher Phone (listed at top of form) Alternate method of summer contactSignature*Date* Date Format: MM slash DD slash YYYY We greatly appreciate your assistance. Thank you.