ࡱ> }| @ Wvbjbjʚʚ ,z&M(((((((<000814P1$<@,22222q3q3q3N@P@P@P@P@P@P@$+BR}Dt@E(8q3q388t@((22@B;B;B;8"(2(2N@B;8N@B;B;((B;2t2 `]HC08"B;z<@0@B;E88EB;<<((((B;E(;q3,4B;s56q3q3q3t@t@<<dD ;"<<South Shore Christian Academy 45 Broad Street " Weymouth, MA 02188 " (781) 331-4340 " Fax (781) 331-9956 " www.southshorechristian.org Placement Director, Guidance Counselor, or Principal Evaluation for grades 6 - 12 INSTRUCTIONS TO THE APPLICANT: Please print your name and school below and give this form and a stamped return envelope (addressed to the Admissions Office at 45 Broad Street, Weymouth, MA 02188) to your current Placement Director, Guidance Counselor, or Principal. Date of Application: ___/____/____ Application for Grade: 6 7 8 9 10 11 12 September, 20____ Last Name First Name Middle School TO THE PLACEMENT DIRECTOR, GUIDANCE COUNSELOR, OR PRINCIPAL: The student above is applying to South Shore Christian Academy, an independent, nondenominational, college preparatory day school for boys and girls in grades Pre-Kindergarten -12. Your thoughts and candid assessment of the above named candidate is integral to our admissions process. We understand that preparing a recommendation can be time-consuming, so we thank you in advance for completing this form. Please note that your comments will be held in confidence. How long have you known this student and in what context? _____________________________________________________ ______________________________________________________________________________________________________ What are the first words that come to mind to describe this student? ________________________________________________ ______________________________________________________________________________________________________ School Ranking: Grading scale: _____________ Passing Mark: _____________ Weighted: _____________ Rank: _____________ ( Exactly ( Approximately ____ in a class of _______ students (High School only) If your school does not rank, please estimate applicants standing in the class: ( Top 1% ( Top 5% ( Top 10% ( Top 20% ( Top 30% (Top 40% ( Bottom Half Are classes sectioned according to ability? ( Yes ( No If yes, please indicate what section or track the student is in (i.e.: advanced, honors, college preparatory, regular, special): ______________________________________________________________________________________________________ Academic and Personal Evaluation 1. Please comment on the students maturity in relation to his or her peers. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 2. Please comment on the extent of the students need for prodding or supervision. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 3. Should SSCA be aware of any problems (physical, emotional, or behavioral)? ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 4. If the applicant has been involved in a serious infraction of school rules, or if he or she has left the school for any period of time, please explain. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Overall Recommendation In relation to others whom you have known in the applicants age group, please rate the candidate in the following areas by placing a check mark in the appropriate box in every line. Top 5% OutstandingTop 20% Above AverageAverageBelow AverageNot ObservedAcademicAchievement%%%%%Potential%%%%%Extra-curricular ActivitiesParticipation%%%%%Leadership%%%%%PersonalMotivation/Initiative%%%%%Cooperation%%%%%Integrity%%%%% OutstandingAbove AverageAverageBelow AverageNot ObservedAs a student%%%%%As a person%%%%%Overall%%%%% _____________________________________________________________ __________________________________ Name (please print) <   $ f V ` c |  # $ 2 5 : C D L T W ~xooooiocoWh/hM5CJaJ hu~]KH h 07KHhhMKH h0AKH hbKH hMKHhq`hM5hMhbh0A5>*CJaJhbh5>*CJaJhbhU5>*CJaJhbh"(5>*CJaJhKA?hY4CJaJhu~]5CJ\aJhKA?hY45CJ\aJhKA?hY45CJ\aJ <  T U W $ & ( x y z gdS $ `'gdM p!`'gdM `'gdMgdM$a$gd"($a$gdY4$&dPa$gdY4 vVvW x & ( w x y z { [ h 78efļ}vrn}g hh@hbh@ h0Ah h0Ahb h0Ah@ hh"( h0AhE9hu~] h0AhS h0Ah"( hhSd h"(5 hSd5hh"(5hhS5hMCJ]aJh/hM5CJaJhbCJ]aJhCJ]aJh/hMCJ]aJ& fgEFVWablmgdbgdSDEFWdgbclmvwjkm|FH8;곯h} hh}hz>hh@5h 07 jhh@ hhE9 hh/hh@5 h0Ahbhbh@h hh@ hhb@GHlm<=]ghgd 07gd}gdS;<=Y\ef@xͱͱͱ֢ͭ֩~hbhE>5KH\hbhE>KHhhb5 hh hh0AhhhSdhSdh}56>*KH\]hSdh}5KH\hSdh}KH hhh hh 07 h}5hh}5h}h 07 hh}/$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}gdSgd}kd$$Ifl ֈc s'' ' 6P%0b 644 lap<$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kdL$$Iflֈc s'' ''''' 6P%0b 644 lap<  $$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd$$Iflֈc s'' ''''' 6P%0b 644 lap< $$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd$$Iflֈc s'' ''''' 6P%0b 644 lap<*.26:>$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}>@kd$$Iflֈc s'' ''''' 6P%0b 644 lap<@x|$%&P#$/1$5$7$8$H$Ifgd}kdd$$Iflֈc s'' ''''' 6P%0b 644 lap<$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd$$Iflֈc s'' ''''' 6P%0b 644 lap<$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd$$Iflֈc s'' ''''' 6P%0b 644 lap< $%&P#$/1$5$7$8$H$Ifgd}kd6 $$Iflֈc s'' ''''' 6P%0b 644 lap<@DHLPT$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}TVkd| $$Iflֈc s'' ''''' 6P%0b 644 lap<Vnrvz~$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd $$Iflֈc s'' ''''' 6P%0b 644 lap<$$%&P#$/1$5$7$8$H$Ifa$gd}$%&P#$/1$5$7$8$H$Ifgd}kd$$Iflֈc s'' ''''' 6P%0b 644 lap<&B$$1$5$7$8$H$Ifa$gdb$1$5$7$8$H$IfgdbgdSBZ\^brvxttttHufuousuyuuuuuuuv vIvJvPvQv»wqw h/0Jjh/0JUh/hhhi)5CJaJhi)hh%Y6h}h%Y he}5 hbhUhbh%Y5 hbh%Y hh%Yhh}5 h}5 h%Y5hbhE>KH hbhE>hbhE>5KH\hE>5KH\*B\^b-$1$5$7$8$H$IfgdbkdN$$Iflֈ& *F'?''`'`'\'644 laSp<$$1$5$7$8$H$Ifa$gdbbfjnrv$1$5$7$8$H$Ifgdb$$1$5$7$8$H$Ifa$gdbvxA0$$1$5$7$8$H$Ifa$gdb$1$5$7$8$H$Ifgdbkdo$$Iflֈ& *F'?''`'`'\'644 laSp<-kd$$Iflֈ& *F'?''`'`'\'644 laSp<$$1$5$7$8$H$Ifa$gdb$$1$5$7$8$H$Ifa$gdb$1$5$7$8$H$IfgdbA0$$1$5$7$8$H$Ifa$gdb$1$5$7$8$H$Ifgdbkd$$Iflֈ& *F'?''`'`'\'644 laSp<-kd$$Iflֈ& *F'?''`'`'\'644 laSp<$$1$5$7$8$H$Ifa$gdbtttttuuuuu vTvUvVvWv$a$gdKA? $ `'a$gdi) `'gd%Y Title _____________________________________________________________ __________________________________ Name of school Telephone _____________________________________________________________ __________________________________ Street City State Zip Date Thank you again for taking time to complete this form. 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