Teacher Recommendation - Baldwin Wallace College printable pdf download

BALDWIN WALLACE UNIVERSITY

Academic Teacher Evaluation (optional)

TO THE APPLICANT

Fill in the information below and give this form to a teacher who has taught you in an academic subject area.

Birth date________________________ Gender_________________________

Social Security Number____________

__________

____________

Month/Day/Year

(Optional)

Student Name______________________________________________________________________________________________________________

Last/Family

First

Middle (complete)

Jr., etc.

Address__________________________________________________________________________________________________________________

Number and Street

City or Town

State

Country

Zip Code or Postal Code

School you now attend_______________________________________________________________________

CEEB/ACT code ___ ___ ___ ___ ___ ___

IMPORTANT PRIVACY NOTICE:

Under the terms of the Family Education Rights and Privacy Act (FERPA) you may have access to your recommendation after you matriculate.

Please indicate your preference:

Yes, I do waive my right to access, and I understand I will never see this recommendation.

No, I do not waive my right to access and may someday choose to review this recommendation.

Signature____________________________________________________________________

Date____________________________________

TO THE TEACHER

We are primarily interested in what you believe is important about the applicant’s academic and personal qualifications for college.

Please submit your references promptly. A photocopy of this reference form, or another reference you may have prepared on behalf of this student, is acceptable. You are encouraged to keep the

original of this form in your private files for use should the student need additional recommendations. Please return your evaluation to the Baldwin Wallace University Office of Admission in the

envelope provided you by this student. We are grateful for your assistance. Be sure to sign below.

Teacher’s Name (please print or type) ______________________________________________________

Position___________________________________

Secondary School_____________________________________________________________________________________________________________

School Address_______________________________________________________________________________________________________________

Teacher’s Phone ____________/_______________________________________

Teacher’s E-mail______________________________________________

Area Code

Number

Ext.

Signature_________________________________________________________________________ Date_____________________________________

BACKGROUND INFORMATION

How long have you known this student and in what context?_____________________________________ ______________________________________________

________________________________________________________________________________________________________________________

What are the first words that come to your mind to describe this student?_____________________________________ ______________________________________

________________________________________________________________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (10th, 11th, 12th) and the level of course difficulty (AP, accelerated, honors, IB, elective, etc.)

________________________________________________________________________________________________________________________

(Please continue on reverse side.)