Teacher Reference Form
This rating is to be completed electronically by a core teacher (Math, ELA, Science, or Social Studies). It can be printed, completed, and returned to Granville Academy, 200 Taylor Street, Oxford, NC 28565, or faxed to 919-693-2896. Please complete as realistically as possible. This document does NOT determine acceptance but importantly guides discussion about the possibility of success for this student in an online curriculum.
Student name
Your answer
Current School
Your answer
Grade Level
Your answer
Person completing this form
Your answer
How long have you known the student? What classes did you have the student in?
Your answer
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