Student Recommendation Form
STUDENT DETAILS
Name
First Name
Last Name
YOUR INFORMATION
Name
First Name
Last Name
Subject Taught
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
School name
*
STUDENT PROFILE
Academic please rate the student accordingly to:
Rows
Excellent
Good
Average
Below Average
Academic potential
Academic performance
Initiative/ motivation
Follows instructions
Listen attentively
Responds well to teacher advice
Organizational skills
Discussion skills
Character please rate the student accordingly:
Rows
Excellent
Good
Average
Below Average
Observes school/ classroom rules
Maturity (relative to year group)
Integrity
Relationship with peers
Relationship with adults
General behavior
If you consider the student to be particularly strong or weak in any of the above, please elaborate:
How long have you known the applicant? (years)
Please describe the student's history of attendance during the past year:
How would you describe the applicant's current performance in the following areas? Tick as appropriate and where applicable.
Rows
Below expected level of year group
At expected level of year group
Above expected level of year group
Mathematics
Other Discipline (ELA, SS, Science)
GENERAL INFORMATION
Has the student received any Special Education Support in the last 2 years?
Yes
No
Please specify
Does the student contribute/ participate in extra-curricular activities? (Eg. has participated in school sports team)
Yes
No
Please specify
IN SUMMARY
Please indicate the strength of your recommendation:
I recommend this student:
very strongly
strongly
comfortably
with reservations
Please elaborate:
I declare that all information provided is correct and understand that false, inaccurate or misleading information can and will result in the student's withdrawal from school.
This form is only valid if sent from a valid school e-mail address.
Signature
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
Submit
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