CURRENT TEACHER REFERENCE

( To be completed by a current core subject teacher )

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Applicant’s Name ____________________________________________________________ Today’s Date __________________________________

School presently attending ______________________________________________________ How long have you known this student? ____________

Windham Christian Academy is a college preparatory, Christian Elementary and Jr. / Sr. High School. We would like your assistance in determining if the above student would be an appropriate candidate for our school and, if admitted, how we could best serve him / her. We assure you that all information provided will remain confidential. Please fax or mail this form directly to Windham Christian Academy. THANK YOU !

1. In your experience, how does this student perform academically? Please circle your answer.

A. Does very well academically C. Does below average work academically.

B. Does average work academically. D. Has significant difficulty in academics.

2. If you answered “C” or “D” to the question above, please explain. ___________________________________________________________________

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3. Please describe any special academic programs, either remedial or enriched, in which this applicant has been enrolled.

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4. Please select one of the following to describe the applicant’s character and general behavior. Please circle your answer.

A. This individual has been an exemplary student. D. This individual has been a discipline problem.

B. This individual has performed reasonably well. E. This individual has been suspended for disciplinary reasons.

C. This individual has needed disciplining from time to time. F. This individual has been expelled for disciplinary reasons.

5. If you answered “D, E, or F “ to question 4, please explain. _____________________________________________________________________

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6. Does the applicant cooperate with faculty and staff in his / her behavior and attitude? Circle answer.

A. All of the time C. About half of the time

B. Most of the time D. Some of the time E. Generally uncooperative

7. Does the applicant cooperate with other students / peers?

A. All of the time C. About half of the time

B. Most of the time D. Some of the time E. Generally uncooperative

8. In your opinion, what are the leadership qualities of the applicant? Please circle one.

A. The applicant is accepted by his / her peers as a leader and naturally takes control of situations.

B. The applicant is a natural leader, but accepts leadership roles reluctantly.

C. The applicant is not a leader, but integrates well with other students.

D. The applicant is not a leader and has difficulty integrating with other students.

9. In your opinion, what is the applicant’s most outstanding characteristic? _____________________________________________________________

10. From your experience, has there been parental cooperation and involvement in school activities?

Yes ____ No ____If yes, in what way? ________________________________________________________________________________________

11. Please add further comments that would assist us in evaluating the applicant. ( Use back of page if necessary ) _______________________________

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12. Should we contact you by phone for additional information?

____No ____ Yes, my phone number is ___________________

Thank you for helping us to evaluate this individual. Your comments are appreciated and will be very helpful to us.

Name _________________________________________________________

Signed ________________________________________________________

Position _______________________________________________________