SUMMER 2013

TEACHER RECOMMENDATION FORM

Part I: Student/Teacher Information /

Students Name : ________________________________________
Student's School:

________________________________________

Teacher's Name: ________________________________________

Email:

________________________________________

Teacher's Signature (: _________________________ Date: _________________

Part II: Student Evaluation

Please evaluate your students among his peers in the same grade for the following categories.

Excellent

Good

Fair

Poor

No Basis

Leadership Skill
Academic integrity
Participation
English Ability
Problem-Solving skill

Adaptability to new
environment
1/2

Self-motivation/self-starter

Teamwork
Extracurricular Involvement

Independence

Part III: Miscellaneous

Please explain the context in which you have had contact with this student (i.e. course(s) taught, school
activities, academic counseling, etc.).

What is the student's greatest strength?

How do you feel about this student working with peers and children (*for volunteer placement
purposes)?

Additional Comments:

2/2