Teacher Recommendation Questionnaire

Student Questionnaire for a Teacher Recommendation

Complete this form to help your teacher provide a recommendation on your behalf. The more specific the details you give, the more personal and effective your recommendation will be. The questions come from both the Common App and Johns Hopkins Admissions resource materials.
Prior to submitting this questionnaire, you must register your recommendation request using the Recommendation Request Form.
Have you completed the registration form linked above?

YesNo

.

You may not continue with this form until you have registered your letter of recommendation request using the Recommendation Request Form. Once you have registered your request, you may complete this questionnaire, but you will need to close the window and start over. The SAVE button will only recycle this screen.

Contact Information
Student's name*

First NameLast Name
Student's email*
example@example.com
Student's telephone number*
Please enter a valid phone number.
Recommender's name*

Title (Mr., Ms., Dr. , etc)Last Name
Recommender's email*
example@example.com

The following questions refer to a single class, but if the teacher taught you multiple classes, you may adapt your answers as appropriate. If your teacher is also your club supervisor, feel free to expand your answers to include your role as a club member.
List the name of the course you took with this teacher, including the grade you were in when you took the course*
List three adjectives that describe you as a student in this teacher's class. *
Name a credential that you earned either directly or indirectly because of this class. If you can't think of anything, then state that. *
Examples: an AP/IB/SAT/ACT score, a good mark in a subsequent course, AP Scholar, winning an award at a competition
Describe a lesson or unit in the class that you enjoyed and explain why you enjoyed it.*
Describe a class project or assignment that you are proud of.*
What did you learn in the class that you applied in other classes or experiences?*
Share an example of a time in the class when you faced a challenge. How did you overcome it?*
Share an example of a time that you worked collaboratively in the class and/or learned from your classmates.*

Listed below are attributes that colleges consider when evaluating your application. Pick one or two of these attributes and in the space below, share an example of a time when you demonstrated the characteristic(s) in class.

Academic achievement		Maturity
Intellectual promise		Motivation
Quality of writing		Leadership
Creative and original thought		Integrity
Productive class discussion		Reaction to setbacks
Respect accorded by faculty		Concern for others
Disciplined work habits		Self-confidence
Intiative		Independence

What characteristic(s) did you choose? *
Describe a time in class when you have demonstrated the characteristic(s) you chose?*
Why have you chosen this teacher to recommend you?*
Is there anything not already stated that you want to make sure your recommender knows about you?*

Credentials and Documentation
Your recommender is likely to review your CAS activities and reflections and your supervisor reviews on ManageBac. Please confirm the statement below before proceeding:*

My CAS page is up to date.
Your recommender is likely to consult your PowerSchool profile. Please confirm that your PowerSchool profile is up to date before proceeding,*

My PowerSchool profile is complete.
The following optional elements allow you to upload or provide links to files (resume, transcript, AP/IB student score page, completed work) that will help your teacher write a letter of recommendation in support of your application.

Soft copies of this documentation are nice, but many teachers prefer hard copies as well. You should therefore consider providing hard copies if you think the documentation is crucial for the teacher to write a well-informed letter on your behalf.
You may provide links to shared documents here or upload a document below with links to shared files. Hyperlinks are not permissible in Jotform responses; your teacher will copy and paste the link into the browser. Please ensure that you have enabled sharing in all linked documents.
File 1

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File 2

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File 3

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Student Questionnaire for a Teacher Recommendation

Contact Information

The following questions refer to a single class, but if the teacher taught you multiple classes, you may adapt your answers as appropriate. If your teacher is also your club supervisor, feel free to expand your answers to include your role as a club member.

Credentials and Documentation