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High School Math Teacher Recommendation

All comments will be held in strictest confidence; information will be used only for admissions purposes and will not
become part of the student’s permanent record file
There are 10 questions in this survey.
(This question is mandatory)
Student's Name
(This question is mandatory)
Your name
(This question is mandatory)
Please list the subject taught to the student and level of difficulty
(This question is mandatory)
How long have you known this student and in what capacity? (i.e. class, club, etc.)
(This question is mandatory)
Describe this student to the best of your ability.
(This question is mandatory)
Please check the category that applies best to the student
Creative ability
Independent thought and action
Academic potential
Academic performance
Classroom behavior
Relationship with peers
Relationship with family
Adult and social interaction
Problem solving
(This question is mandatory)
What are the academic strengths and weaknesses of this student? (e.g. diligence, desire to learn, curiosity, class leadership, achievement in relationship to potential, preparation and completion of homework).
Would you recommend this student for Honors Level Math?
Would you recommend this student receive academic support? If so, why?
(This question is mandatory)
Name and Address of School