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Instructor Recommendation Form
We would like to thank you for taking the time to complete this short confidential assessment for the listed student. Given the challenges of identifying soon-to-be freshmen students that are ready for college level courses, we rely heavily on the valued opinions of instructors that know the student.
Keep in mind, we do not have enough positions for every student. Thus we rely heavily on teacher recommendations to fill those spots with the students that possess a high level of maturity, intellectual ability and passion for science.
All information provided in this form is strictly confidential and will never be shared with the student to ensure you feel comfortable sharing your honest thoughts and observations.
*
Indicates required field
Instructor Name
*
First
Last
Student Name
*
First
Last
Students School
*
College View Middle School
Daviess County Middle School
Owensboro Middle School
Owensboro Catholic Middle School
Burns Middle School
Hancock County Middle School
St. Marys of the Woods
Not affiliated with a listed school
Approximately how long have you known this student?
*
Less than 1 month
1-6 months
1-3 years
Over 3 years
In what capacity have you known this student?
*
Instructor
Mentor
Coach
Counselor
Relative/Friend of family
Please select the best answer for each questions below regarding the students abilities.
Oral Communication Skills
*
Excellent
Good
Average
Poor
Unsure
Written Communication Skills
*
Excellent
Good
Average
Poor
Unsure
Student Maturity
*
Extremely mature for his/her age
Mature for his/her age
Average maturity
Immature
Very Immature
Creativity/Originality
*
Excellent
Good
Average
Poor
Unsure
Diligence/Persistence
*
Excellent
Good
Average
Poor
Unsure
Participation (class projects/discussions)
*
Excellent
Good
Average
Poor
Unsure
Organizational Skills
*
Excellent
Good
Average
Poor
Unsure
Interpersonal/Communication Skills
*
Excellent
Good
Average
Poor
Unsure
In the below textbox would you please provide your assessment of the students most outstanding talents or characteristics. What might make this student stand out from other students. What are the applicant’s chief weaknesses or areas for growth. Please include in this box anything that was not addressed above that would better help us determine if this student will likely be successful in our program.
Strengths & Weaknesses
*
Submit