Recommendation Form for Viera High School Academies
Recommendation forms are to be filled out and submitted by the individual giving the recommendation only. Three (3) recommendations are required in total. Two (2) must be submitted by current teachers. The third may be submitted by a coach, pastor/minister, employer, etc.
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Student's Last Name *
Student's First Name *
Student's Grade Level *
Name of Person Giving the Recommendation *
Phone Number of Person Giving the Recommendation *
Email of Person Giving the Recommendation *
Relationship to Student *
Course Name (if teacher)
Teacher's Home School
What are this student's areas of strength? *
What, if any, are the student's areas of weakness? *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their attendance: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their attitude: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their concern for others: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their creativity: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their emotional maturity: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their energy: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their growth potential: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their leadership: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their personal responsibility: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their reaction to setbacks: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their respect accorded by faculty: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their respect accorded by peers: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their self-confidence: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their self-discipline: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their self-motivation: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their sense of humor: *
On a scale of 1-5, with 5 being the highest (excellent) what score would you give the student on their warmth of personality: *
Additional Comments or Observations
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