Teacher Reference Form
This rating is to be completed electronically by a core teacher (Math, ELA, Science, or Social Studies). It can be printed, completed, and returned to Granville Academy, 200 Taylor Street, Oxford, NC 28565, or faxed to 919-693-2896. Please complete as realistically as possible.  This document does NOT determine acceptance, but importantly guides discussion about the possibility of success for this student in an online curriculum.
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Student name
Current School
Grade Level
Person completing this form
How long have you known the student? What classes did you have the student in?
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