Rez Teacher Reference (Coop Student) Form
Please complete this form for each student who has asked for you to be a reference for co-op.
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Email *
COLLECTION OF PERSONAL INFORMATION
Personal information is collected under the authority of s. 265(1)(d) of the Education Act, and pursuant to sections 28(2) of the Municipal Freedom of Information and Protection of Privacy Act. The information collected on this application will be used for (i)the purposes of assessing and determining suitable candidates for a Cooperative Education program, (ii) enrolling successful candidates in the program, and (iii) matching the candidates to an appropriate cooperative education placement. For further information contact: Co-op Consultant, Waterloo Catholic DSB, 35 Weber St. Kitchener ON N2H 3Z1, 519-578-3660.
Student's Name *
Teacher and Subject Area *
Are you comfortable completing this reference? *
Qualities of the student
Excellent
Good
Satisfactory
Needs Improvement
Punctuality
Communication
Ability to Learn
Time Management
Leadership
General Conduct
Accepts Criticism
Problem Solving
Honest / Trustworthy
Work Ethic
Clear selection
Learning Skills and Work Habits
Excellent
Good
Satisfactory
Needs Improvement
Responsibility
Organization
Independent Work
Collaboration
Initiative
Self-regulation
Clear selection
Would you want this student working for you?
Would this student need support/supervision in a co-op placement?
Would this student represent the school favourably in the community?
Comments: (Please write any comments that you feel would help in assessing this student)
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