PRE-SCHOOL/KINDERGARTEN STUDENT EVALUATION FORM
Laurence School was founded in 1953. It is a non-profit school with a non-discriminatory admissions policy that
services Kindergarten through 6th grade students of average to gifted intelligence.
Admission to the school’s kindergarten program is based upon the child’s developmental and maturational read-
iness for formal academic learning, as well as chronological age.
It is important that our school selects children who are ready for our program. Your cooperation in completing
this form in the most objective and candid way is greatly appreciated. (THIS INFORMATION IS CONFIDENTIAL.)
Dear Teacher: Please return this form to Laurence School in the enclosed envelope. Thank you.
______________________________________________________________________________________
STUDENT’S NAME DATE
______________________________________________________________________________________
EVALUATING SCHOOL
PHONE
______________________________________________________________________________________
ADDRESS CITY ZIP
______________________________________________________________________________________
AGE LENGTH OF TIME AT YOUR SCHOOL
______________________________________________________________________________________
CLASS SIZE PRE-K OR KINDERGARTEN?
SOCIAL AND EMOTIONAL DEVELOPMENT: Mature Age Needs Immature
Appropriate Development
Listens
_______ _______ _______ _______
Cooperates _______ _______ _______ _______
Relates to Peers _______ _______ _______ _______
Relates to Adults
_______ _______ _______ _______
Exhibits Self-Confidence _______ _______ _______ _______
Adjusts to Transitions
_______ _______ _______ _______
Tolerates Frustration _______ _______ _______ _______
Separates from Parents
_______ _______ _______ _______
Shares Materials and Possessions _______ _______ _______ _______
Functions Independently
_______ _______ _______ _______
Asks for Help When Needed _______ _______ _______ _______
Comments: _________________________________________________________________________________
__________________________________________________________________________________________
SOCIAL AND EMOTIONAL DEVELOPMENT: Mature Age Needs Immature
Appropriate Development
Fine Motor Control
_______ _______ _______ _______
Gross Motor Control _______ _______ _______ _______
Handness Established Yes No
13639 VICTORY BOULEVARD • VALLEY GLEN, CA 91401 • 818.782.4001
office@[Link] • [Link]
A non-profit K-6 school founded in 1953, Laurence School does not discriminate based upon race, religion, national or ethnic origin.
COGNITIVE DEVELOPMENT: Mature Age Needs Immature
Appropriate Development
Expresses Ideas Orally
_______ _______ _______ _______
Articulates Clearly _______ _______ _______ _______
Sustains Attention in Small Groups _______ _______ _______ _______
Sustains Attention in Large Groups _______ _______ _______ _______
Grasps Concepts
_______ _______ _______ _______
Recalls Details
_______ _______ _______ _______
Demonstrates an Interest in Learning _______ _______ _______ _______
Interacts with Materials
_______ _______ _______ _______
Follows Directions _______ _______ _______ _______
Do you feel that this child is ready for a full-time kindergarten program? Yes No
Comments: _________________________________________________________________________________
__________________________________________________________________________________________
How would you describe this child?_______________________________________________________________
__________________________________________________________________________________________
FAMILY INFORMATION: Consistently Usually Sometimes Rarely
Communicates Openly with School _______ _______ _______ _______
Participates in School Activities
_______ _______ _______ _______
Cooperates with Classroom Teachers _______ _______ _______ _______
Cooperates with Administration
_______ _______ _______ _______
Follows the Rules and Policies of the School _______ _______ _______ _______
Has Realistic Expectations for their Child _______ _______ _______ _______
Meets Financial Obligations in Timely Manner _______ _______ _______ _______
Comments: _________________________________________________________________________________
__________________________________________________________________________________________
Signature: ______________________________ Type or Print Name: ______________________________
Title or Position: __________________________ How long have you known this child? ________________
First Date of Child’s Enrollment in Your School: ____________________
YOUR JUDGMENTS ARE USED SOLELY FOR THE ADMISSIONS PROCESS AND ARE HELD IN
STRICTEST CONFIDENCE. WE THANK YOU FOR YOUR COOPERATION AND ASSISTANCE.
[Link]
PARENT AUTHORIZATION
TO THE PARENT:
Please Note: This is a release to provide us with information concerning your child. It is the responsibility of
the parent or guardian to forward this signed form to the applicant’s current or former school.
The following student has applied for admission to Laurence School:
_________________________________________________________________________________
STUDENT’S NAME
_________________________________________________________________________________
BIRTH DATE CURRENT GRADE
Authorization is hereby given for the release of any information, either written or in verbal form, including but
not limited to the cumulative file and all other documents, all grades, test scores, awards, discipline records,
attendance records, counseling records and correspondence, required at any time by:
LAURENCE SCHOOL
13639 Victory Boulevard
Valley Glen, CA 91401
(818) 782-4001
_________________________________________________________________________________
SIGNATURE OF PARENT/GUARDIAN DATE
TO THE CURRENT (OR FORMER) SCHOOL:
Please retain this Release of Information in your files.
Please mail the attached Student Evaluation form for this student to Laurence School in the
enclosed envelope.
Thank you for your cooperation!
13639 VICTORY BOULEVARD • VALLEY GLEN, CA 91401 • 818.782.4001
office@[Link] • [Link]
A non-profit K-6 school founded in 1953, Laurence School does not discriminate based upon race, religion, national or ethnic origin.
