Puente Project: Teacher Feedback Form

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Student's First Name *

Student's Middle Initial

Student's Last Name *

Please provide the following information regarding this student’s participation in your class throughout this school year

Current English Grade *

English Grade First Semester *

Attendance *

Attends regularly

Absent Occasionally

Poor Attendance

Citizenship *

Outstanding

Fair

Needs Improvement

Parental Support *

Very supportive

Somewhat supportive

Not supportive

Please provide a brief overview of why you think this student has the potential and motivation to be successful in the Puente Middle School Language Arts course. *

Please indicate the areas of support you feel the student will need to successfully complete this English Language Arts course, and the 2-year program. *

Do you recommend this student for the PUENTE Project? *

Highly

Moderately

Do Not

Additional comments:

Teacher's Name (First Name, Last Name)

Elementary School Name *

Thank you very much for your time and help, you're feedback is much appreciated.

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