Preschool Reference Form To be filled out by the preschool/daycare teacher of a child applying to White Rock Christian Academy. Dear preschool/daycare teacher,Thank you for your willingness to complete this Preschool Reference Form. We know that as a preschool/daycare teacher, you have a unique perspective and can offer valuable insight for this child. The information that you share will help us in knowing how to maximize the child’s potential to grow at White Rock Christian Academy. All information that you provide will be kept confidential and will not be shared with this child or their parents/guardians without your permission.We welcome any additional comments or feedback you can offer.Child's First Name(Required)Child's Last Name(Required)Parent 1 Email(Required)At least one parent email address is required in order for us to connect this form with the correct application. Parent 2 Email (optional) Name of person completing this form:(Required)Name of Daycare/Preschool(Required)Relationship to child:Length of relationship:He/She is confident in separating from a parent/guardian.(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.He/She can play cooperatively in age-appropriate ways with other children.(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.He/She uses appropriate, caring language to speak to teachers and classmates.(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.He/She communicates effectively using language to solve problems with classmates.(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.He/She enjoys participating in group activities such as class discussions, story time, music/movement etc. He/She participates with interest and focus.(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.He/She can independently follow 3-step directions (e.g., change your shoes, put on your coat, and put on your boots).(Required)Exceeds expectationsMeets expectationsMeets expectations with teacher supportHas not yet met expectationsIf the answer is "Meets expectations with teacher support" or "Has not yet met expectations" please provide additional information that will help us to support the child.Do you have any concerns about this child's speech?(Required) No Yes Please provide additional information that will help us to support the child.(Required)Do you have any concerns about this child's development?(Required) No Yes Please provide additional information that will help us to support the child.How likely is this child to thrive in a full day Kindergarten or Junior Kindergarten program with high academic expectations where they are expected to work collaboratively with other students?(Required)Most likelyLikelyLikely with teacher supportNot likelyIf the answer is "Likely with teacher support" or "Not likely" please provide additional information that will help us to support the child.TEACHER CONFIRMATIONConfirmation(Required) I confirm that I am the child’s current or former daycare/preschool teacher and am qualified to provide this reference. First Name(Required)Last Name(Required)SignatureEmail address:(Required)