71st School of the Arts Reference Form 2019-2020 School Year
Students interested in attending Seventy-First High School's School of the Arts (SOA) must get a reference form completed (preferably by an arts teacher). You have been selected by the student to recommend him/her for SOA. Please fill out the form as soon as possible. The deadline is Friday, February 22, 2019.
Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Reference's Name *
Your answer
Reference's Phone Number *
Your answer
Reference's Profession & Position *
Your answer
Work Address *
Your answer
How would you prefer to be contacted? *
*
RARELY
OCCASIONALLY
OCCASIONALLY
NOT APPLICABLE
Brings new dimensions to topics of discussion or activities
Seeks the best solution for a challenging situation
Works beyond assignments
Seeks knowledge for its own sake
Is interested in topics beyond the typical interests of his or her peer group
Does not fear being different; is willing to take a stand when appropriate even in face of opposition.
Plans future activities; sets long term goals
Takes responsibility for his or her own actions
Exhibits leadership by initiating activities within a group
Exhibits flexibility when dealing with change or new situations
Is gracious when fulfilling unpleasant tasks
Has the respect of his or her teachers.
Has the respect of his or her peers
Has expressed an interest in their discipline
What one trait of this applicant do you think will be the strongest indication for his or her likely success? *
Your answer
How do you know this applicant? How long have you known the applicant? *
Your answer
Please give specific examples and details from work, community or school setting, which best describe this applicant's strength of character. *
Your answer
Contact
If you have any questions or concerns please contact the Director of the SOA or teacher (extensions are listed below). Phone number for Seventy-First High School: 910.867.3116

Erika Sieg (SOA Director/Visual Arts)..........................................................................313

Nicole Collins (Band).............................................................................................810/267
Kerry Brown (Dance)..............................................................................................812/271
Andrea Haynes (Chorus).......................................................................................808/272
Robert Thomas (Orchestra)..................................................................................808/272
Wynona Oxendine (Theatre).........................................................................................900
Nancy Snyder (Visual Arts)..........................................................................................314

Questions/Comments/Etc
Your answer
Acknowledgement of statements above *
To sign type your first and last name and date (mmddyy)
Your answer
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