TEACHER REFERENCE FORM

Section I : Candidate Information

Name of Candidate (Name of person you are recommending for this position):

Position Candidate Applied For:

Section II : Reference Contacted

Name of Reference (Please provide your full name):

Your Position Title:

Email:

Phone Number:

Employer/Organization:

Relationship to Candidate:

Other

Years known:

Please rate the following categories according to the 5 point rubric provided:

5 - Exemplary

4 - Very Good

3 - Good

2 - Satisfactory

1 - Unsatisfactory

Relationship with staff and students:

Comment on candidate's ability to collaborate and engage positively:

Instructional Practice and Effectiveness:

Comment on the candidate's ability to differentiate instruction and assessment for students:

Assessment Practices:

Please provide your comments on the candidates assessment practices, focusing on their effectiveness and the range of methods employed:

Involvement in the School:

Comment on candidate's involvement with school community and activities:

Commitment to Professional Growth:

Please identify strengths and areas of growth:

Classroom Management:

Comment on ability to maintain order and engage students:

Performance when compared to peers:

Comments:

If this candidate left your organization, why did he/she leave?

Would you hire/rehire this candidate? Why/Why not?

Please provide any additional comments that you deem important for our organization to know.