Riverside Poly Puente Program - Teacher Recommendation Form
Please submit this form no later than April 12th, 2019. This is a CONFIDENTIAL EVALUATION and no one except the Poly Puente Program coordinators will see responses. For each of the following areas, please rank this student on a scale of 1 (LOWEST) to 5 (HIGHEST).
Email address *
Last Name of Candidate: *
Your answer
First Name of Candidate: *
Your answer
Student's Current Grade Level: *
Name of Teacher Submitting Response (First and Last Name, please): *
Your answer
Subject Area: *
School Phone Number (w/Your Extension): *
Your answer
Student's Current Letter Grade in Your Class:
Please score this candidate's LEVEL OF ACADEMIC ACHIEVEMENT: *
(Lowest)
(Highest)
Please score this candidate's LEVEL OF MOTIVATION: *
(Lowest)
(Highest)
Please score this candidate's ATTITUDE TOWARD LEARNING: *
(Lowest)
(Highest)
Please score this candidate's RESPONSIBILITY: *
(Lowest)
(Highest)
Please score this candidate's LEADERSHIP ABILITY: *
(Lowest)
(Highest)
Please score this candidate's CHARACTER: *
(Lowest)
(Highest)
Please score this candidate's MATURITY: *
(Lowest)
(Highest)
Please score this candidate's WORK ETHIC: *
(Lowest)
(Highest)
Please score this candidate's ABILITY TO COMMUNICATE EFFECTIVELY: *
(Lowest)
(Highest)
Please score this candidate's TIME MANAGEMENT: *
(Lowest)
(Highest)
Please provide any additional comments that will recommend (or NOT recommend) this student to be a member of the Poly Puente Program for the next school year.
Your answer
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