Student Recommendation Form - CONFIDENTIAL
Dear Educator,

This recommendation is an important part of the application process and your cooperation in providing a full and candid report will be greatly appreciated. Please complete this form at your earliest convenience.

Please note: This form is confidential and should not be shared with the parents/guardians of the student.
Email address *
Student Full Name *
Your answer
Currently enrolled in Grade *
Your answer
Name of Individual completing this form *
Your answer
Job Title *
Your answer
Telephone *
Your answer
School Name *
Your answer
School Address *
Your answer
How long has the student been at your school? *
Your answer
How long have you known the student? *
Your answer
Language(s) of instructions in the school *
Your answer
What is the student's mother tongue? *
Your answer
If the student's mother tongue is not English, how long has the student been learning English? *
Your answer
Please indicate the student's level of English *
*
Excellent
Very Good
Good
Average
Below average
Poor
Task completion
Work habits
Readiness to seek help
Taking responsibility
Leadership ability
Motivation/Initiative
Intellectual curiosity
*
Excellent
Very Good
Good
Average
Below average
Poor
Relationship with adults
Relationship with peers
Self-discipline/Control
Self-Confidence
Emotional maturity
Compassion
Creativity
Integrity
Overall conduct
What are the student's academic strengths? *
Your answer
What are the student's academic weaknesses? *
Your answer
Has the student received learning support or followed any special or withdrawal programs such as remedial, enriched, or gifted programs? *
Your answer
In what areas would you suggest that the student might benefit from additional support or encouragement? *
Your answer
Has the student been involved in any serious academic misdemeanor (plagiarism, academic dishonesty, etc.) while at your school? If YES, please explain. *
If the answer is NO, please write NO.
Your answer
Has the student been involved in any serious disciplinary issues (e.g. theft, violence, bullying etc.) while at your school? if YES, please explain. *
If the answer is NO, please write NO.
Your answer
Is the student an enthusiastic participant in school programs (i.e. clubs, athletics, arts, etc.)? *
If the answer is NO, please write NO.
Your answer
Please write a short descriptive assessment of the student. *
If the answer is NO, please write NO.
Your answer
Would you like us to call you regarding this student? *
I certify that all information submitted in this form is my own work, factually true, and honestly presented. *
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