Title Page
-
Student Name
-
Birth Date
-
Address
-
School you now attend
-
CEEB/ACT Code
TEACHER
TEACHER
-
You are encouraged to keep this form in your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below.
-
Teacher’s Name (Mr./Mrs./Ms./Dr.)
-
Subject Taught
-
Signature
-
Secondary School
-
School Address
-
Teacher's Telephone
-
Teacher's E-mail
Background Information
-
How long have you known this student and in what context?
-
What are the first words that come to your mind to describe this student?
-
In which grade level(s) was the student enrolled when you taught him/her?
-
Specify
-
List the courses in which you have taught this student, including the level of course difficulty (AP, IB, accelerated, honors, elective; 100-level, 200-level; etc.).
Teacher Evaluation
-
Compared to other students in his or her class year, how do you rate this student in terms of:
Evaluation
-
Academic achievement
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Intellectual promise
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Quality of writing
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Creative, original thought
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Productive class discussion
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Respect accorded by faculty
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Disciplined work habits
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Maturity
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Motivation
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Leadership
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Integrity
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Reaction to setbacks
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Concern for others
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Self-confidence
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Initiative, independence
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
OVERALL
- Below Average
- Average
- Good (Above Average)
- Very Good (Well Above Average)
- Excellent
- Outstanding
- On of the top few I've encountered
-
Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.)
