Student Recommendation Form
Student Name
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First Name
Last Name
Current Grade
*
Teacher's Name
*
First Name
Last Name
School Name
*
Position
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Character Evaluation
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Rows
No Basis for Judgement
Below Average
Average
Above Average
Excellent
Integrity
Sense of Humor
Warmth
Leadership
Independence
Peer Relationships
Relationships with Teachers
Attendance
Reactions to Criticism
Maturity(relative to age)
Academic Evaluation
*
Rows
No Basis for Judgement
Below Average
Average
Above Average
Excellent
Knowledge of Basic Skills
Motivation
Study Habits
Work Habits
Attention Span
Accuracy in Use of Basic Skills
Problem Solving Ability
Reasoning Ability
Effort
Overall Performance
Willingness to Accept the Challenge of More Difficult Problems
Command of Subject compared to other students taught
Works to potential
Follows verbal and written directions
Contributes to Group Work
Works Independently
Sustains Satisfactory Attention in Class
Completes homework satisfactorily
Mathematics Concepts
Mathematics Computation
Written Expression
Reading Comprehension
Reading Decoding
Please list three strengths you would choose to describe this student:
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Please list three weaknesses you would choose to describe this student:
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How supportive are the parents of school policies and procedures?
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How well do the parents work with the suggestions of the teachers/administration?
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Has the child ever been recommended for any of the following special programs or interventions: Gifted, Behavioral Therapy, Academic Support, Speech, Counseling, Psycho-Ed Evaluation, Occupational Therapy?
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Please write a summary statement assessing the candidate's quality and promise as a participant in a rigorous academic program and environment. Include- character, relative maturity, values and special interests or talents. If the candidate's record is not a true index of ability, please explain factors which have interfered with his/her academic achievement.
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I recommend in terms of both academic ability and character:
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Enthusiastically
Strongly
Fairly Strongly
Without Enthusiasm
Not Recommended
Teacher's signature:
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Submit
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