Teacher Reference Form - National Geographic Student Expeditions

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Confidential Teacher Reference Form
In order for the below student to be considered for the scholarship program, we must receive this form
by March 1, 2017. Please return this completed form to the applicant in a sealed envelope with your
signature across the seal. If you have any questions, please call us at 1-877-877-8759.
Dear Teacher,
_________________________ has applied for scholarship admission to a National Geographic Student
Expedition to_________________________ and has indicated that you would be willing to provide us with
a reference on his/her behalf. Each applicant is carefully selected on the basis of his or her maturity,
enthusiasm, motivation, intellectual curiosity, and potential to thrive within and contribute to a close
community environment. To learn more about National Geographic Student Expeditions, please visit our
website:
Please complete this form and return it to the applicant in a sealed envelope with your signature across
the seal. Your reference is a valued and important part of our admissions process, and your honest
responses carry significant weight. If you feel uncomfortable recommending the applicant, you should
simply sign and return this reference form in a sealed envelope with your signature across the seal. A
blank form will be regarded as a negative reference.
All information you provide is confidential. References submitted to National Geographic Student
Expeditions are read only by members of the Admissions Committee and leadership staff. Since we
are not able to act on the student’s application until all reference forms are completed and returned to
us, your prompt reply will help our admissions committee make its decision in a timely fashion. In order to
be considered for a scholarship, the applicant must send us his/her teacher references and all other
application materials by March 1. Thank you for your help!
1. How long have you known the applicant? In what capacity?
2. How long has the applicant attended his/her current school?_________________________________
3. Academic standing: Using a scale of 1 to 10, with 10 being the highest possible rating, please indicate
how you feel the applicant compares to his/her peer group as a student in the following areas:
Diligence:_______ Motivation:______ Intellectual Curiosity:_______ Academic Achievement:________
4. To your knowledge, has the applicant ever been involved in disciplinary action, placed on probation, or
suspended from school? If yes, please explain.

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