Teacher Reference
Thank you for your time and care in completing this Teacher Reference for the student who requested it. This student is applying for admission to Covenant Christian High School. As we have all learned, the single most important factor that determines the atmosphere in a classroom is the attitude of the students. As we also know, it is very difficult to determine a teenager’s attitude from an application form. For that reason we ask each entering student to obtain a reference from a former teacher who has first-hand experience with their classroom behavior.

Given its confidential nature, this form will go directly to Donnie Fishburn, Dean of Students, and will not be shared with the student or family. Thank you again for taking the time to complete this Reference Form.

Personal Information
Your Name *
(First, Last)
Your answer
School *
Your answer
Telephone *
Your answer
Email Address *
Your answer
Student Name *
(First, Last)
Your answer
How long have you known the applicant? *
Your answer
Subject(s) taught to the applicant? *
Your answer
Academic Ability
General Academic Ability *
Please provide details for the answer chosen above. *
Your answer
Please describe any special teaching or special accommodations/modifications that have been provided for the student. *
Your answer
Student Qualities
Social Relationship with Peers *
Leadership Ability *
Creativity *
Self-Confidence *
Self-Control *
Relationships with Adults *
Class Participation *
Ability to Focus in Classroom *
Is the student habitually tardy or absent? *
If yes, please elaborate.
Your answer
Has the student had any disciplinary issues? *
If yes, please explain. *
Your answer
What are the first words that come to mind to describe this student? *
Your answer
Recommendation
Your overall recommendation of this applicant for admission to Covenant Christian High School: *
If your answer is "Recommend with Reservation" or "Do Not Recommend" please explain.
Your answer
If you have additional information that will be helpful to the Admissions Committee in evaluating the student's application, please comment.
Your answer
Submission
Signature *
Typing your full name serves as your signature for this reference form.
Your answer
Submit
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