HCS Teacher Recommendation Form for WBL Applicants

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*This form is to be completed by a teacher, coach, administrator, or club sponsor (not a counselor).

CONFIDENTIAL

Work-Based Learning programs are an extension of the school-based curriculum in the workplace. Through these experiences, students will be exposed to a wide range of general workplace knowledge and competencies, with the goal being to better prepare students for future opportunities. The program is voluntary and designed for a group of selected students entering their junior/senior year. The student has applied to participate in Work-Based Learning. Your input is an integral part of the evaluation system in which a student's admittance to the WBL Program is determined. Therefore, your honest feedback is very important. Your time and professional opinion are greatly appreciated.

Henry County Schools does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. You may access additional information at https://schoolwires.henry.k12.ga.us/Page/49720.

Email *

STUDENT's Last Name *

STUDENT's First Name *

Student ID number

Please assist by completing this form and submitting it as quickly as possible. Thank you.

Responsibility *

Below Average

Excellent

Attitude *

Below Average

Excellent

Effort *

Below Average

Excellent

Interpersonal Skills *

Below Average

Excellent

Attendance / Punctuality *

Below Average

Excellent

Teamwork *

Below Average

Excellent

Decision Making *

Below Average

Excellent

Communication Skills *

Below Average

Excellent

Enthusiasm *

Below Average

Excellent

If you wish to give reasons for any of your ratings, please do so here. We find an explanation for the significance of ratings to be very helpful.

Please feel free to make other comments that will indicate your estimation of this students' qualifications for this program.

PLEASE CHECK ONE *

I recommend that the above student be accepted into the Work-Based Learning Program.

I do NOT recommend that the above student be accepted into the Work-Based Learning Program. (Based on the reasons stated above.)

Please enter your first and last name. This will serve as your electronic signature. *

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