2022 Student Recommendation Form

Students:  The purpose of this form is to help the Health Careers Academy determine which students can best benefit from the academy experience.  Please ask two teachers if they are willing to complete this form for you. At least one must be a teacher of English, math, science, or world language. Please send them this link.
A few days later, you should check with each teacher to be sure they have completed the form. Recommendations are due February 5, 2022.

Teachers:  Please give this student a rating in each area.  A “5” means you believe the student definitely exhibits the attribute.  A “1” means you believe the student definitely does not exhibit the attribute.  Your response is confidential and should not be shared with the student.  Please complete this form by February 5, 2022.
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Email *
Name of Student *
Attributes *
5 Does
4 Mostly
3 Sometimes
2 Rarely
1 Never
Respects Others
Communicates Well with Adults
Trustworthy
Responsible
Has Potential to do College Prep Work
Responds to Correction
Please add any comments that you believe will reflect on this student’s potential to benefit from joining the Health Careers Academy.
Teacher's Name *
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