STEM Scholars Recommendation Request Form

STEM Scholars Recommendation Request Form

Please use this form to submit a letter of recommendation for any student applying to the Franklin Institute's STEM Scholars Program.
Student Name:

First NameLast Name
Recommender Name:

First NameLast Name
School Affiliation:
Recommender Job Title:
Email Address:
example@example.com
Phone Number:
Coursework/Experience with Student:
Student asks questions and shows interest in STEM topics.

1

2

3

4

5

1 is Strongly disagree, 5 is Strongly Agree
Student is respectful and gets along with peers and staff members.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student demonstrates critical thinking when problem solving.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student regularly contributes to class discussion.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student demonstrates consistent attendance and regularly communicates about any issues or absences .

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student produces quality work and completes assignments in a timely manner.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student uses feedback to improve their work.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Student shows perseverance when faced with challenges.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Please describe how this student collaborates with others in the classroom.
To what extent does the student demonstrate integrity — such as honesty, accountability, and doing what’s right, even when it's difficult or goes unseen?
Based on your experience, how responsive and engaged is the student’s family or caregivers with school communications or requirements?
Does the student require supports or other accommodations to participate in classroom activities that you believe would be beneficial to assist their participation in the STEM Scholars program? If so, please elaborate?
Do you have any concerns about the student’s ability to participate in the STEM Scholars program? If so, please elaborate.
Anything else we should consider regarding the student's participation in the STEM Scholars program?
Recommender Signature:
Today's Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: