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Reference Form for Teachers
Please state your opinion of the applicant's qualifications on the form below. All responses are confidential.
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* Indicates required question
Email
*
Your email
Applicant name
*
Your answer
Your name
*
Your answer
Your email
*
Your answer
Your telephone number
*
Your answer
May we call you to discuss your recommendation?
*
Choose
YES
NO
Capacity in which you have known the applicant
*
Your answer
Length of time in which you have known the applicant
*
Your answer
Vigor and energy
*
Poor
1
2
3
4
5
Excellent
Patience
*
Poor
1
2
3
4
5
Excellent
Understanding of child growth and development
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Poor
1
2
3
4
5
Excellent
Creativity and imagination evident in work
*
Poor
1
2
3
4
5
Excellent
Handling of routines and responsibilities
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Poor
1
2
3
4
5
Excellent
Rapport with students
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Poor
1
2
3
4
5
Excellent
Rapport with colleagues/peers
Poor
1
2
3
4
5
Excellent
Clear selection
Rapport with parents
*
Poor
1
2
3
4
5
Excellent
Rapport with administrators
*
Poor
1
2
3
4
5
Excellent
General intelligence
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Poor
1
2
3
4
5
Excellent
Tactfulness, judgement and common sense
*
Poor
1
2
3
4
5
Excellent
Thorough knowledge and understanding subject matter
*
Poor
1
2
3
4
5
Excellent
Skill in motivating students
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Poor
1
2
3
4
5
Excellent
Sensitivity with/and consideration of others
*
Poor
1
2
3
4
5
Excellent
Skill as an instructor (ability to adapt teaching techniques to individualize curriculum and instruction)
*
Poor
1
2
3
4
5
Excellent
Classroom management
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Poor
1
2
3
4
5
Excellent
Adaptability to changing circumstances (relocated classroom, change of schedule, etc.)
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Poor
1
2
3
4
5
Excellent
Enthusiasm toward work and life
*
Poor
1
2
3
4
5
Excellent
Overall rating
Poor
1
2
3
4
5
Excellent
Clear selection
Would you hire (or rehire) this person for a position in your organization?
*
Choose
YES
No
Why did the applicant leave their current place of employment?
*
Your answer
Please describe the applicant's special strengths and general weaknesses.
*
Your answer
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