Dance

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Teacher Nomination Form

Student Name:  _______________________________        Grade:  _________________
Teacher Name:  _______________________________        Date:  __________________

Check the column that best describes the student’s classroom performance. Listed below is a range of possible characteristics. Indicate whether the student demonstrates the characteristic often, sometimes, or seldom. Cite specific examples of the behavior by writing in the space provided or attaching a written narrative or student work.

Characteristic:

Seldom

Some-
Times

Often

Dance

          Specific
         Example

Demonstrates exceptional physical balance

 

 

 

 

 

 

Performs sequences of movement easily and well

 

 

 

 

 

 

Communicates meaning and feeling with movement

 

 

 

 

 

 

Uses his/her body as an instrument of expression

 

 

 

 

 

 

Volunteers to participate in movement activities and dances

 

 

 

 

 

 

Please add any comments in the space below:

 

 

 

Adapted from the Ohio Department of Education