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The Eddy School

8 Bear River Road

Newry, ME 04261

(207) 381-7716

www.TheEddySchool.com

www.facebook.com/The.Eddy.School

Deb Webster, Director

TheEddy2011@gmail.com

RECOMMENDATION FORM

Student's Name: ___________________________________________________________

Dear Parent/Guardian: Please sign the statement of confidentiality listed below, and give this form and a stamped return envelope addressed to The Eddy School to the person who will be writing the recommendation.

Statement of Confidentiality

I acknowledge that I waive my right to read the confidential recommendation form for the student listed above. I affirm that all information furnished on the recommendation received by The Eddy School administration will be held in the strictest of confidence and is not available to the applicant and/or his or her family.

Parent/Guardian Signature___________________________________Date__________________

Dear Teacher/Leader:

Your insights about this student and your existing relationship with this family can help us ascertain if our school will meet their needs. Please feel free to send your responses electronically or to use another sheet of paper to elaborate on any of the following questions. Please return this form to The Eddy School as soon as possible.

In what manner do you know this child?

___________________________________________________________________________________________________

___________________________________________________________________________________________________

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What three words initially come to mind when you think of this student?

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In a small group setting, how would you rate this student’s interaction with peers? Please elaborate on your rating below.

                5                4                3                2                1

Always considerate and                                                                 Unable to act respectfully

appreciative of others'                                                                         towards peers

strengths and weaknesses

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What has your experience been with this family?

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Not exclusive to academics, what do you believe to be this student’s greatest strength and area of most needed growth?

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Please attach any more information you would like to share to this form.

I recommend this applicant to The Eddy School...

enthusiastically with confidence with some reservation with considerable reservation do not recommend

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                        signature                                                        date

Your name: ____________________________________________        Title: ___________________________________

School: ________________________________________________School Address: _____________________________

City: _____________________________ State: _______ Zip: ____________ Telephone:__________________________

Email: _____________________________________________________________________________________________

Thank you for completing this form. Your generosity with your time is greatly appreciated. Please contact Deb Webster, Director/Lead Teacher of The Eddy School with any comments or questions: TheEddy2011@gmail.com

In accordance with Federal Law and USDA Policy, this school does not discriminate on the basis of race, color, national origin, sex, age or disability (not all prohibited bases apply to all programs).