MATH/SCIENCE TEACHER EVALUATION
Parent/Guardian Completes
Applicant Name:
First Name
Last Name
We are requesting an evaluation of the above student, who is applying to the UBMS program at Frostburg State University. UBMS is a pre-college program that encourages qualified students to further their educational pursuits beyond high school. Two of the most important factors for applicants are post-secondary potential and a need for our program's services. When evaluating, keep in mind the academic strengths and weaknesses, potential for growth, behavior in class, level of motivation, work quality, and achievement. This evaluation does not mean you are necessarily recommending a student. We are seeking a realistic assessment of the student's potential for success in post-secondary education, particularly in the fields of mathematics and science.
Teacher Name:
First Name
Last Name
Course Name:
Teacher Role:
Math Teacher
Science Teacher
Teacher Email:
example@example.com
Student's current % grade in your course:
Next year's recommended math/science class:
Is the student performing at their expected ability level in your class?
Yes
No
If no, please explain:
Given this student's performance, please rate their potential for success in post-secondary education (select one):
Definite potential and motivation for success with little guidance and support
Potential and motivation are there, but the student will need guidance and support
The student has potential, but will need guidance and support to stay motivated
The student has motivation, but will need a lot of guidance and support to achieve academically
The student lacks potential and motivation, and post-secondary education is not realistic at this time
Other text input
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Students selected for UBMS must demonstrate a need for our services. How would you categorize the student's needs?Check all that apply.
Low GPA (below 2.5)
Limited English proficiency
Disconnected/homeless youth
No pre-algebra taken by the start of 10th grade
Taken and not passed Math/Alg 1 and/or Reading/Language Arts HSA
Low educational aspirations
Lack of opportunity, support, and/or guidance to take challenging college preparation courses
Lack of career goals or need for accurate information on careers
Lack of confidence, self-esteem, and/or social skills
Diagnosed learning disability
Predominantly low-income community
Rural isolation
Interest in careers in math and science
Other
Please select areas you feel the student could benefit from our services to improve Academic Skills.
Time Management
Note taking
Test Prep/Test Taking
Organization
Class Participation
Listening Skills
Attendance
Attitude
Do you have any additional comments to make regarding this student's academic abilities and achievements that may have bearing on their acceptance into the UBMS program?
Teacher Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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