Breakthrough Optional Teacher Rec.
Student First Name *
Your answer
Student Last Name *
Your answer
Student School *
Your answer
Recommender First and Last Name *
Your answer
What are the First 3 words that come to mind when you think of this student? *
Your answer
In your opinion, what is this student's greatest strength and challenge? *
Your answer
Is there anything we should know about the child's academic skills, family issues, social behavior, in specific? (Feel free to email additional info bbrewer@kentdenver.org)
Your answer
Please select the response that best suits the student in relation to the other students you teach/work with. *
Below Average 1
Average 2
Above Average 3
Outstanding 4
Skill Level (General)
Motivation and Effort
Citizenship
Behavior
Overall Assessment
Given what you know of this student's parent(s)/guardian(s) please check the appropriate statements below. *
Consistently
Usually
Seldom
Not Observed
Communicate about student's progress
Support school policies and procedures
Breakthrough is a program for hardworking, dedicated and motivated students who want to go to college. I recommend this student: *
Electronic Signature *
Your answer
Email Address (For potential follow up) *
Your answer
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