Recommendation Form
Student Name
First Name
Last Name
School Student Attends
School
Grade Level
Did the student demonstrate the following skills or performance? Please rate them below: (1=lowest / 3=fair / 5=highest)
Rows
1
2
3
4
5
Communication
Responsibility
Respect
Self-motivation
Academic Performance
Participation
Express ideas orally
Consideration of others
Punctuality
Please describe your relationship with the student and the context in which you have interacted (e.g., classroom, extracurricular, advising, etc.)
What are the strengths of the student?
What areas of growth or improvement do you think this student could focus on, and how do you think participation in LLI could support their development?
To your knowledge, has this student been involved in any disciplinary actions or behavioral concerns during their time at school?If yes, please describe the nature of the situation and how it was resolved (if known):
Recommend Enthusiastically
Recommend with Reservation
Recommender Name
First Name
Last Name
Recommender
Title
Subject
Email
example@example.com
Phone Number
Format: (000) 000-0000.
By signing below, you agreed to recommend this student.
Recommender's Signature
Date Signed
-
Month
-
Day
Year
Date
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Submit
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