Teacher Reference Form

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Thank you for filling out a reference for this candidate for Band Leadership.

This form will not be shown to the student, so please be as honest as you can. This will help me make an informed decision on who to pick to be the influential leaders of the band program!

Your name (adult filling out the form) *

Student's name *

Attitude of Student *

Worst example

Best possible example

Responsibility of Student *

Extremely irresponsible

Most responsible student you know

Dependability of Student *

Cannot count on this student ever

I can count on this student for anything!

Leadership of Student *

Would never put this student in charge

The first student I think of to take charge

Adaptability of Student *

Very Rigid

Very Flexible

Ability to take critique *

Takes it very badly

Eagerly accepts critique to grow from

Please talk about any low scores you awarded.

Please give us a few comments on how excellent you feel this student is. We give our leadership a lot of responsibility, and need students we can count on. Anything else you would like us to know?

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