Teacher Feedback Form

from

Hispanic Studies-Sharpe Community Scholars

Date:

Name and grade of LEP student:

Name of tutor:

Name of teacher:

Subject Area:

Name of Evaluator:

Please rate and comment on your LEP student on the following criteria on a scale from 1 to 5, where 1 is poor and 5 is excellent.

• Academic Attitude

1 2 3 4 5

Comments:

• Academic Performance

1 2 3 4 5

Comments:

• Social Behavior

1 2 3 4 5

Comments:

Additional Comments: