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Evaluator's Name
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School Address
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Title/Position
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Phone Number
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School
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Email Address
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A. What are the first words that come to mind to describe this student?
B. Compared to other students in his/her grade level, radio how you would rate this student:
Academic Achievement:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Quality of interaction with other students:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Quality of interaction with teachers:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Influence and leadership:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Integrity:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Coping with adversity:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Deportment:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Punctuality to school:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Punctuality to classes:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Attendance to school:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
Attendance to classes:
(required)
A notable weakness
Satisfactory
Better than most
Exceptional
No judgement basis
C. Has this student ever been suspended or placed on probation for academic or disciplinary reasons?
(required)
Yes
No
If yes, please explain
D. Has this student paid all outstanding school fees and other financial obligations to your institution?
(required)
Yes
No
If No, please explain, without violating confidentiality, any circumstances that may have caused this
Please write any additional information about this student that you think is important
F. How strongly do you recommend this student for Campion College?
(required)
With reservation
Fairly strongly
Strongly
My strongest recommendation
Not recommended