Teacher Recommendation for Christiana Middle School Honors Academy
Please complete this form as part of the student's application to the Middle School Honors Academy at Christiana for the 2021-2022 school year. This form is confidential and will not be shared with applicants or families. If you have any questions, please contact Bobby Graham at 302-631-2404 or
robert.graham@christinak12.de.us
.
*** Please note this form is not due until January 13, 2021.
* Required
Email address
*
Your email
Your Name
*
Your answer
Email Address
*
Your answer
School at which you teach:
*
Your answer
Last Name of Student
*
Your answer
First Name of Student
*
Your answer
Grade/subject you taught student.
*
Your answer
Does the student read at or above grade level?
*
Yes
No
Unsure
The student's attendance is:
*
No issue
A minor issue (less than 10 days)
An issue (more than 10 less than 20)
Of Major Concern (more than 20 days)
Student is frequently tardy
Unsure
What three adjectives would you use to describe this student?
*
Your answer
Does this student work well in groups of peers? Please explain below.
*
Your answer
Are there any areas where this student might need additional support? Please explain below.
*
Your answer
Please describe the students work ethic
*
Your answer
Please describe how the student responds when faced with challenges.
*
Your answer
on a scale of 1 to 5 (5 being the highest), how motivated is the student to learn new things?
*
1
2
3
4
5
Please note your overall recommendation for this student
Highly recommend
Recommend
Recommend with reservation
Cannot recommend
Clear selection
Additional Comments:
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Christina School District.
Report Abuse
Forms
