Student Name:____________________________________
A
L
, P
D
S
R
PPROACH TO
EARNING
ERSONAL
EVELOPMENT AND
OCIAL
ESPONSIBILITY
Excellent
Good
Fair
Poor
Academic Ability
______
______
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______
Academic Achievement
______
______
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______
Intellectual Curiosity
______
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E ort/Determination
______
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______
Ability to Work Independently
______
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Organization
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Creativity
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Willingness to take Intellectual Risks
______
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Concern for Others
______
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Honesty/Integrity
______
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Self-esteem
______
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______
______
Maturity (relative to age)
______
______
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Responsibility
______
______
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Respect Accorded by Faculty
______
______
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Respect Accorded by Peers
______
______
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Emotional Stability
______
______
______
______
Overall Evaluation as a Person
______
______
______
______
Overall Evaluation as a Student
______
______
______
______
If the applicant is relatively weak or strong in any areas listed above, please elaborate:
Please comment on the applicant’s character, citizenship and contributions to your community:
Please add additional comments on a separate sheet if necessary and send this completed form to:
Diana Garcia-Lavigne
International Student Program Director
Thetford Academy
P.O. Box 190
Thetford, Vermont 05074 USA
international@thet.net
Fax: 802-785-4805