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Principal/Counselor Observations


General Information

Thank you for your time and attention as you complete this observation form. Please answer all questions that correspond to your role and interactions with the CDS applicant. Questions: call the CDS Admissions Office at 336-714-5575.
Student's Namerequired
First Name
Last Name
Applying for graderequired
Principal/Counselor's Namerequired
First Name
Last Name
Position in Schoolrequired
How long have you known this student?required
Student's relationship with peersrequired
Respect for authorityrequired
Response to correction/disciplinerequired
Demonstrates positive spirit towards class activitiesrequired
Expresses self confidencerequired
Expresses concern for othersrequired
Expresses disappointment appropriatelyrequired
Shows leadership abilitiesrequired
Is reliable and trustworthyrequired
Parents cooperate with school or school's recommendationsrequired
Parent's expectations of student arerequired
Parent's participation in student's education isrequired
Overall parental support and involvementrequired
Does this student have an IEP, 504 plan, or academic accommodations?required
If yes, please explain
Has this student ever been referred to your office (or another administrator) for disciplinary reasons? If yes, explainrequired
If yes, please explain
Do you recommend this applicant for admission to Calvary Day School?required
What reason has the family given for leaving your school?required
Please describe this student's strengths in comparison to other students at your school.required
Please describe this student's weaknesses in comparison to other students at your schoolrequired
Is the student currently taking regular medications?required
Has the student ever been referred for education, medical or behavioral evaluation or testing?required
Have there been any circumstances (e.g. extended illness, separation, divorce, death in the immediate family) which have interfered with the student's academic performance?required
In your opinion, is the parent's perception of the student compatible with the school's perception of the student?required
If yes, please explain
Does this family (or their children) participate in activities that cause this child to be absent from school? (e.g. vacations, athletic events, competitions, etc.)required
Other commentsrequired
Principal/Counselor Information
Must contain a date in M/D/YYYY format
Email Addressrequired
Work Telephone Numberrequired
School Namerequired
School Addressrequired
Zip Coderequired