Evaluation Form

2022-2023

Student Name: Andaz Mohammed Sherzad

Current Grade: 5 D

Name and signature of supervisor completing this form: Abdullah Omar Mahmood

Subject/s you teach this student: Literature Your Telephone number: 0750-405-0206

How long have you known this student? 2 years

What are the first words that come to your mind to describe this student: Talkative.

Supervisor: Information about this student will be valuable in assisting us to evaluate this student’s personality.

Character and Personality Traits (Please underline the appropriate category)

Outstanding in Usually, good Occasional Frequent

Conduct
every respect behavior misconduct disruption

Leadership Much Some Little Poor

Somewhat
Emotional Maturity/ Stability Very mature Average Very immature
immature
Healthy
Occasional Needs much
Social relationship with peers cooperative Relates poorly
minor problems reassurance
relationships
Healthy self- Needs some Seems overly
Self-Confidence Untrustworthy
image support confident
Usually, Some
Integrity Trustworthy  
trustworthy reservations
Highly Poorly
Sense of humor Developed  
developed developed
Interaction with teachers/
Professional Avoids contact Unprofessional  
adults
Minor
Participation in school life Outstanding Contributor  
participation

Academic Traits (Please insert the 🗸 into the appropriate category)

 Academic Traits Excellent Good Fair Poor Comments:

Academic potential   x     

Academic achievement   x       

Self-motivation   x     

Effort/Initiative     x   

Study habits/organization of time and work      x    

Intellectual curiosity    x      

Attention span x         

Commitment to homework       x   

Ability to follow directions   x       

Ability to work independently   x       

Ability to work in a group  x        

Ability to express ideas orally  x        

Ability to express ideas in writing    x      

Attendance x         

Does the student have any abilities or deficiencies not covered by the above categories?

 Yes  No
If yes, describe _________________________________________________________________________________

_________________________________________________________________________________
Have you observed any signs of learning disabilities?

 Yes  No
If yes, describe _________________________________________________________________________________

_________________________________________________________________________________

Parent involvement:  Much  Usually  Rarely Not Involved  Not applicable

CLASS SUPERVISOR STUDENTS AFFAIRS COUNSELOR SUPERVISORS TEAM LEADER PRINCIPAL

Abdullah Omar Sipan Abdulsalam Muhamad Bashaer Adel Esttaifan Farrah Yousif Matti