Springs Adventist Academy Teacher Recommendation
The student in question is a candidate for admission to Springs Adventist Academy.  As this student’s teacher, we would appreciate your candid responses to the questions below.  Your comments will be held in confidence. Thank you for your assistance.  Should you have any questions, please contact Springs Adventist Academy at 719-597-0155.
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Email *
What is the full name of the student applying for SAA? *
Your full name *
Position/Title *
Name of School *
Address of School *
School Telephone Number *
School Fax Number *
How long have you known the applicant and in what capacity? *
How well do you feel you know him / her? *
Not very well
Very well
Please list the course(s) in which you have this student. *
What grade is the student presently earning in your class(es)? *
Where does the student rank in your class? *
Please rate each of the following qualities of the student. *
Outstanding
Very Good
Good
Average
Below Average
Poor
No Basis for Evaluation
Reading Ability
Mathematical Ability
Verbal Ability
General Academic Ability
Attention Span
Rate of Progress
Desire to Learn
Study Habits
Organization
Can Work Independently
Critical/Abstract Thinking
Reliability
Truthfulness
Maturity
Self-discipline
Concern for Others
Peer Compatibility
Influence on Others
Respect for Adults
Spiritual Interest/Maturity
Common Sense
Creativity
Motivation
Independence
Leadership Ability
Sense of Humor
Self-esteem
Emotional Stability
Personal Appearance
General Health
From your observations, does the student support the values of your school? *
Has the student ever been subject to discipline or censure at your school? *
Has the student ever been separated (suspended, dismissed, etc.) from your school? *
To your knowledge, has the student used any of the following in the past year? *
Yes
No
Alcohol
Tobacco
Illegal Drugs
Based on your knowledge of the student, what recommendation would you give for admittance to a Christian school like Springs Adventist Academy? *
With Enthusiasm
With Confidence
Mildly
With Reservation
Not at All
Character and Personal Potential
Academic Ability and Potential
Overall
Please make any additional comments on this student’s potential for success at Springs Adventist Academy here. *
Is there any additional information that can be better conveyed in a phone conversation? *
Hours and phone number where you can be reached. *
Thank you for completing this form. Your remarks will have a direct bearing on the candidate’s application, and we will consider them carefully.  Your typed signature below indicates your acknowledgement that everything in this document is true to the best of your knowledge. *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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