Teacher Recommendation Form

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Side 1
TEACHER RECOMMENDATION FORM
Please print all information.
Student Name: ___________________________________________________________Applicant for grade: _____________
(Last)
(First)
(Middle)
TO PARENTS:
If your child has different teachers for English and mathematics, give one copy of this form to each teacher. If your child has the
same teacher for English and mathematics, he/she needs to complete only one form.
To ensure confidentiality, we require this form be mailed by your child’s teacher(s) directly to the school.
TO TEACHERS:
The information you provide is confidential and will be used only in the selection of applicants. It will not become part of the
permanent file and will not be available to applicants or parents.
________________________________________________________
Please make the following ratings as realistically as you can in comparison to your other students.
ACADEMIC RATINGS
If you instruct the student in both English and mathematics, please use both an “E” in the appropriate spaces and an “M” in the
appropriate spaces to avoid filling out two forms.
No basis for
Unable to
Below
Average
Above
Excellent
Judgment
Recommend
Average
Average
Ability
Logical Reasoning
Motivation
Curiosity
Study habits/organization
Academic independence
Ability to express written ideas
Ability to express ideas orally
Completes work on time
CHARACTER RATINGS
No basis for
Unable to
Below
Average
Above
Excellent
Judgment
Recommend
Average
Average
Leadership
Self-confidence
Warmth of personality
Concern for others
Maturity
Personal initiative
Personal integrity
Academic integrity
Reaction to criticism
Respect accorded by faculty
Respect accorded by peers
Cooperation
Self-discipline
Attendance
Additional copies of this form are available at

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